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后pilon 骨折的手术入路。

A surgical approach to posterior pilon fractures.

机构信息

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY 10032, USA.

出版信息

J Orthop Trauma. 2010 Mar;24(3):188-93. doi: 10.1097/BOT.0b013e3181b91927.

DOI:10.1097/BOT.0b013e3181b91927
PMID:20182256
Abstract

Posterior pilon fractures are injuries of the posterior tibial plafond that likely occur through a combined rotational and axial load mechanism and are often difficult to treat with standard surgical approaches to the ankle. We describe an alternative surgical approach to this injury using posteromedial, posterolateral, or combined approaches and present a series of patients with either radiographic or functional outcomes at a minimum of 1-year follow up that were treated by this method.

摘要

后踝骨折是一种累及后踝的胫骨远端骨折,可能是由旋转和轴向复合暴力导致的,采用常规踝关节入路治疗往往较为困难。我们描述了一种治疗后踝骨折的替代手术入路,包括后内侧、后外侧或联合入路,并报告了一组患者的影像学或功能随访结果,随访时间至少 1 年,这些患者均采用该方法治疗。

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引用本文的文献

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Reduction and outcome of posterior pilon fractures with intercalary fragments: a retrospective cohort study comparing the transfibular and posteromedial approaches.伴有中间骨折块的后踝骨折的复位及预后:一项比较经腓骨入路和后内侧入路的回顾性队列研究
J Orthop Traumatol. 2025 May 29;26(1):34. doi: 10.1186/s10195-025-00851-0.
2
A systematic review of posterior pilon fractures.后踝骨折的系统评价
J Orthop. 2025 Jan 28;68:34-39. doi: 10.1016/j.jor.2025.01.034. eCollection 2025 Oct.
3
Homeopathic Ankle Dislocation for Treatment of Unstable Trimalleolar Fractures Involving Posterior Die-Punch Fragment: A Retrospective Cohort Study.
Homeopathic 踝部脱位治疗涉及后 die-punch 碎片的不稳定三踝骨折:回顾性队列研究。
Orthop Surg. 2024 May;16(5):1230-1238. doi: 10.1111/os.14047. Epub 2024 Mar 31.
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A systematic review of posterior pilon variant fractures.后Pilon变异型骨折的系统评价
J Orthop. 2024 Feb 28;53:73-81. doi: 10.1016/j.jor.2024.02.035. eCollection 2024 Jul.
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Treatment strategies for complex ankle fractures-current developments summarized in a narrative review.复杂踝关节骨折的治疗策略——叙述性综述中总结的当前进展
Ann Transl Med. 2023 Oct 25;11(11):387. doi: 10.21037/atm-23-1173. Epub 2023 Aug 15.
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Posterior malleolus exposure.后踝暴露
OTA Int. 2019 Mar 19;2(2):e021. doi: 10.1097/OI9.0000000000000021. eCollection 2019 Jun.
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Front Surg. 2023 Mar 30;10:1141606. doi: 10.3389/fsurg.2023.1141606. eCollection 2023.
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Arch Orthop Trauma Surg. 2023 Jul;143(7):4181-4220. doi: 10.1007/s00402-022-04643-7. Epub 2022 Dec 5.
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