Wiebking U
Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
Unfallchirurg. 2017 Aug;120(8):632-639. doi: 10.1007/s00113-017-0363-9.
Intraarticular fractures of the distal tibia (pilon fractures) are rare injuries and today they occur mostly in traffic accidents and falls from a great height. There are simple fractures in the context of low-energy traumas, as well as complex comminuted fractures in high-energy traumas. Besides the clinical examination, plain radiographs and computed tomographic scans are diagnostic prerequisites. The aim of the diagnostic process is to clearly identify and classify the fracture before appropriate treatment is initiated. The systems used to classify the displaced distal pilon fractures are supposed to ensure the three-dimensional assessment of the fracture and provide high inter- and intra-observer agreement. In addition to the classification of Rüedi and Allgöwer, the classification of pilon fractures has been carried out using the AO classification.
胫骨远端关节内骨折（pilon骨折）是一种罕见的损伤，如今大多发生在交通事故和高处坠落中。低能量创伤会导致简单骨折，而高能量创伤则会造成复杂的粉碎性骨折。除临床检查外，X线平片和计算机断层扫描是诊断的必要前提。诊断过程的目的是在开始适当治疗之前明确识别骨折并进行分类。用于对移位的远端pilon骨折进行分类的系统应确保对骨折进行三维评估，并在观察者之间和观察者内部达成高度一致。除了Rüedi和Allgöwer分类法外，还使用AO分类法对pilon骨折进行了分类。
