导致明确开放性治疗 Pilon 骨折的决策和分期：我们从哪里来，现在在哪里？
Decisions and staging leading to definitive open management of pilon fractures: where have we come from and where are we now?
机构信息
Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, UMDNJ-New Jersey Medical School, Newark, NJ 07103, USA.
出版信息
J Orthop Trauma. 2012 Aug;26(8):488-98. doi: 10.1097/BOT.0b013e31822fbdbe.
UNLABELLED
Historically, the treatment and outcomes related to pilon fractures have been variable despite anatomical reduction and fixation. However, with the advent of newer implant technologies, improved surgical techniques, and the management via a staged protocol, results have indicated encouraging clinical outcomes with minimization of postoperative complications. This review focuses and outlines the current strategies, decision-making processes, and definitive treatment options regarding the notoriously difficult to treat pilon fracture.
LEVEL OF EVIDENCE
Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.
摘要：尽管实现了解剖复位和固定，但历史上，PILON 骨折的治疗和结果仍存在差异。然而，随着新型植入物技术、改良手术技术以及分期方案管理的出现，结果表明，通过最小化术后并发症，可以获得令人鼓舞的临床结果。本文重点阐述和概述了目前针对这种治疗难度大的 PILON 骨折的策略、决策过程和确定性治疗选择。
证据等级：治疗性 V 级。有关证据水平的完整描述，请参阅作者须知。
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