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Analysis of the variables affecting outcome in fractures of the tibial pilon treated by open reduction and internal fixation.切开复位内固定治疗胫骨 Pilon 骨折影响预后的变量分析
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本文引用的文献

1
Treatment of type C pilon fractures by external fixator combined with limited open reduction and absorbable internal fixation.外固定架结合有限切开复位可吸收内固定治疗 C 型 Pilon 骨折。
Foot Ankle Int. 2013 Apr;34(4):534-42. doi: 10.1177/1071100713480344. Epub 2013 Feb 27.
2
Decisions and staging leading to definitive open management of pilon fractures: where have we come from and where are we now?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？
J Orthop Trauma. 2012 Aug;26(8):488-98. doi: 10.1097/BOT.0b013e31822fbdbe.
3
Open reduction with internal fixation versus limited internal fixation and external fixation for high grade pilon fractures (OTA type 43C).切开复位内固定与有限内固定加外固定治疗高能量 Pilon 骨折（OTA 分型 43C）。
Foot Ankle Int. 2011 Oct;32(10):955-61. doi: 10.3113/FAI.2011.0955.
4
Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications.胫骨平台骨折：发病率、诊断、治疗及并发症综述
Acta Orthop Belg. 2011 Aug;77(4):432-40.
5
Smoking cessation reduces postoperative complications: a systematic review and meta-analysis.戒烟可减少术后并发症：系统评价和荟萃分析。
Am J Med. 2011 Feb;124(2):144-154.e8. doi: 10.1016/j.amjmed.2010.09.013.
6
Outcomes of ankle fractures in patients with uncomplicated versus complicated diabetes.非复杂性糖尿病与复杂性糖尿病患者踝关节骨折的治疗结果。
Foot Ankle Int. 2011 Feb;32(2):120-30. doi: 10.3113/FAI.2011.0120.
7
Reduction strategies through the anterolateral exposure for fixation of type B and C pilon fractures.经前外侧入路降低策略固定 B 型和 C 型 Pilon 骨折。
J Orthop Trauma. 2011 Feb;25(2):116-22. doi: 10.1097/BOT.0b013e3181cf00f3.
8
Outcome following open reduction and internal fixation of open pilon fractures.切开复位内固定治疗开放性 Pilon 骨折的疗效。
J Bone Joint Surg Am. 2010 Feb;92(2):346-52. doi: 10.2106/JBJS.H.01678.
9
Early complications following the operative treatment of pilon fractures with and without diabetes.伴有或不伴有糖尿病的Pilon骨折手术治疗后的早期并发症
Foot Ankle Int. 2009 Nov;30(11):1042-7. doi: 10.3113/FAI.2009.1042.
10
Complication rates following open reduction and internal fixation of ankle fractures.踝关节骨折切开复位内固定术后的并发症发生率。
J Bone Joint Surg Am. 2009 May;91(5):1042-9. doi: 10.2106/JBJS.H.00653.

Pilon骨折的分期治疗。

Staged treatment of pilon fractures.

作者信息

Deivaraju Chenthuran, Vlasak Richard, Sadasivan Kalia

机构信息

Department of Orthopedics, PSGIMSR, Coimbatore, India.

Division of Trauma, Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.

出版信息

J Orthop. 2015 Feb 27;12(Suppl 1):S1-6. doi: 10.1016/j.jor.2015.01.028. eCollection 2015 Oct.

DOI:10.1016/j.jor.2015.01.028
PMID:26719618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4674545/
Abstract

AIM

To evaluate outcomes following staged anterolateral plating of pilon fractures.

METHODS

Over a 5 year period, patients with pilon fractures received four treatment regimens (staged anterolateral plating, staged medial plating, definitive external fixation, early total care). We defined five outcomes (reduction, soft tissue complications, infection, non-union, malunion) and assessed the outcome of fractures treated by these interventions.

RESULTS

Staged anterolateral plating or staged medial plating achieved comparable reduction and soft tissue complications. Staged medial plating had higher infection rates, malunion and non-union rates.

CONCLUSIONS

Staged anterolateral plating is superior to staged medial plating in the management of pilon fractures.

摘要

目的

评估分期前外侧钢板固定治疗pilon骨折的疗效。

方法

在5年期间，pilon骨折患者接受了四种治疗方案（分期前外侧钢板固定、分期内侧钢板固定、确定性外固定、早期全面治疗）。我们定义了五个疗效指标（复位、软组织并发症、感染、骨不连、畸形愈合），并评估了这些干预措施治疗骨折的疗效。

结果

分期前外侧钢板固定或分期内侧钢板固定在复位和软组织并发症方面相当。分期内侧钢板固定的感染率、畸形愈合和骨不连率更高。

结论

在pilon骨折的治疗中，分期前外侧钢板固定优于分期内侧钢板固定。