Li Qin, Zhao Wen-bo, Tu Chong-qi, Yang Tian-fu, Fang Yue, Zhang Hui, Liu Lei
Zhongguo Gu Shang. 2014 Dec;27(12):1029-32.
To summarize clinical outcomes of locking compression plate (LCP) combined with minimally invasive percutaneous plate osteosynthesis (MIPPO) for the treatment of Pilon fracture.
From January 2009 to December 2012, Pilon fracture patients treated by LCP with MIPPO were retrospectively analyzed. All open fractures, pathologic fractures and those who had limb vascular disease or nerve injury were excluded. Thirty-eight patients were enrolled, including 29 males and 9 females aged from 21 to 78 years old with an average of 48 years old. According to AO classification, 20 cases were type B, 18 cases were type C. Operative time, blood loss, reduction quality, time of fracture healing complications and postoperative ankle joint function were applied for evaluating clinical outcomes, AOFAS scoring were used for assessing postoperative clinical effects.
All patients were followed up from 13 to 24 months (averaged 18 months). All patients obtained bone union without any plate failures or loss of fixation/reduction. One patient occurred superficial wound infection, and resolved with antibiotics and local wound care. Postoperative average AOFAS score was 81 (ranged 65 to 97).
LCP with MIPPO for Pilon fratcure has advantages of less invasion, fewer complications and satisfactory ankle function.
总结锁定加压钢板（LCP）结合微创经皮钢板接骨术（MIPPO）治疗Pilon骨折的临床疗效。
回顾性分析2009年1月至2012年12月采用LCP结合MIPPO治疗的Pilon骨折患者。排除所有开放性骨折、病理性骨折以及合并肢体血管疾病或神经损伤的患者。纳入38例患者，其中男性29例，女性9例，年龄21至78岁，平均48岁。根据AO分类，B型20例，C型18例。采用手术时间、出血量、复位质量、骨折愈合时间、并发症情况及术后踝关节功能等评估临床疗效，采用美国足与踝关节协会（AOFAS）评分评估术后临床效果。
所有患者均获随访13至24个月（平均18个月）。所有患者均获得骨愈合，无钢板断裂或固定/复位丢失情况。1例患者发生表浅伤口感染，经抗生素及局部伤口处理后痊愈。术后AOFAS评分平均为81分（范围65至97分）。
LCP结合MIPPO治疗Pilon骨折具有创伤小、并发症少、踝关节功能满意等优点。
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