Rose Rec
Division of Orthopaedics, Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J. 2002 Sep;51(3):176-8.
Tibial pilon fractures are difficult to manage because of their severity. These injuries are frequently open and contaminated, with marked comminution of the articular surface and metaphysis. The results of open reduction and internal fixation are dependent on the severity of the initial injury and the quality and stability of the reduction. The literature reports numerous complication rates associated with open reduction and internal fixation of pilon fractures. The Ilizarov technique of external fixation has fewer complications, and allows restoration of joint surfaces, reconstruction of length, and alignment of the extremity while maintaining a sufficient range of joint motion. Two cases of pilon fractures in which the Ilizarov method was utilized are reported, along with a review of the literature.
由于胫骨平台骨折伤势严重，治疗起来颇具难度。这些损伤常常是开放性且受污染的，关节面和干骺端有明显粉碎。切开复位内固定的效果取决于初始损伤的严重程度以及复位的质量和稳定性。文献报道了与胫骨平台骨折切开复位内固定相关的众多并发症发生率。伊利扎洛夫外固定技术并发症较少，能在保持足够关节活动范围的同时实现关节面恢复、肢体长度重建及对线。本文报告了两例采用伊利扎洛夫方法治疗的胫骨平台骨折病例，并对相关文献进行了综述。
