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高能 Pilon 骨折：外固定在急性和确定性治疗中的作用。什么情况下适合进行初次踝关节融合术？其适应证和技术是什么？

High-Energy Pilon Fractures: Role of External Fixation in Acute and Definitive Treatment. What are the Indications and Technique for Primary Ankle Arthrodesis?

机构信息

Michigan Orthopedic Center, 2815 South Pennsylvania Avenue, suite 204, Lansing MI 48901, USA.

Orthopaedic Trauma, Reconstructive Foot and Ankle Surgery; Illinois Bone and Joint Institute, 2401 Ravine Way, Glenview, IL 60025, USA; University of Chicago Pritzker School of Medicine, Chicago, IL, USA.

出版信息

Foot Ankle Clin. 2020 Dec;25(4):523-536. doi: 10.1016/j.fcl.2020.08.005. Epub 2020 Oct 3.

DOI:10.1016/j.fcl.2020.08.005
PMID:33543715
Abstract

External fixation is an essential tool in the management of high-energy pilon fractures. Reduction techniques using the external fixator and fixation constructs for use with external fixation as a part of stage management are reviewed. The concepts of external fixation with limited articular fixation is discussed. The use of circular external fixation in both acute management of high-energy pilon fractures, as well as the indications and technique for acute ankle arthrodesis as part of primary treatment of pilon fractures are outlined.

摘要

外固定架是治疗高能 Pilon 骨折的重要工具。本文回顾了使用外固定架进行复位技术和固定结构，并讨论了有限关节固定的外固定架概念。本文还概述了在高能 Pilon 骨折的急性处理中使用环形外固定架，以及作为 Pilon 骨折主要治疗的一部分进行急性踝关节融合术的适应证和技术。

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