伊利扎洛夫技术治疗复杂胫骨平台骨折。
Ilizarov treatment of complex tibial pilon fractures.
作者信息
Vidyadhara S, Rao Sharath K
机构信息
Department of Orthopaedics, Kasturba Medical College, Manipal, 576 104, Karnataka, India.
出版信息
Int Orthop. 2006 Apr;30(2):113-7. doi: 10.1007/s00264-005-0038-y. Epub 2006 Jan 25.
Abstract
We treated 21 consecutive patients between 1998 and 2002 with complex tibial pilon fractures, eight type B and 13 type C, using percutaneous reduction and fixation with the small diameter Ilizarov apparatus. The average patient age was 34+/-5.6 years (range 28-52 years). Nine of the patients had open fractures (two type I, four type II, and three type IIIA). The patients were followed up regularly at 6-month intervals for 2 years. All fractures united. The fixator was removed at an average of 26.6+/-4.2 weeks (range 20-34 weeks). The average American Orthopaedic Foot and Ankle Society ankle-hind foot score was excellent in 11 patients, good in five, fair in four, and poor in one. Thirteen patients were able to squat and climb stairs.
摘要
1998年至2002年间，我们对21例连续的复杂胫骨平台骨折患者（8例B型和13例C型）采用小直径伊里扎洛夫器械经皮复位固定治疗。患者平均年龄为34±5.6岁（范围28 - 52岁）。9例患者为开放性骨折（2例I型、4例II型和3例IIIA型）。患者每6个月定期随访2年。所有骨折均愈合。平均在26.6±4.2周（范围20 - 34周）取出固定器。11例患者美国矫形足踝协会踝 - 后足评分优秀，5例良好，4例一般，1例差。13例患者能够下蹲和爬楼梯。
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