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.
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。
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