胫骨 Pilon 骨折治疗中的微创技术：新方法与良好结果
Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results.
作者信息
Ben Bouzid Yassine, Bassir Rida-Allah, Boufettal Monsef, Mekkaoui Jalal, Kharmaz Mohamed, Lamrani Moulay Omar, Berrada Mohamed Saleh
机构信息
Department of Orthopedic and Trauma Surgery, Ibn Sina University Hospital, Rabat, Morocco.
出版信息
Adv Orthop. 2023 Mar 21;2023:1272490. doi: 10.1155/2023/1272490. eCollection 2023.
BACKGROUND
Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preserving the soft tissue and the fracture hematoma.
MATERIALS AND METHODS
We conducted a retrospective study of a series of 28 cases treated at the Orthopedic and Traumatological Surgery Department of the CHU Ibn Sina in Rabat over a period of 3 years and 9 months, from January 2018 to September 2022.
RESULTS
After a mean follow-up of 16 months, 26 cases had good clinical results according to the Biga SOFCOT criteria and 24 cases had good radiological results according to the Ovadia and Beals criteria. No cases of osteoarthritis were observed. No skin complications were reported.
CONCLUSION
This study highlights a new approach that deserves to be considered for this type of fracture as long as no consensus has been given.
背景
胫骨平台粉碎性骨折由高能机制所致，常伴有软组织损伤。由于术后并发症，其手术入路存在问题。这些骨折的微创治疗在保留软组织和骨折血肿方面具有相当大的优势。
材料与方法
我们对2018年1月至2022年9月在拉巴特伊本·西那大学医院骨科与创伤外科治疗的一系列28例病例进行了回顾性研究，为期3年9个月。
结果
平均随访16个月后，根据比加SOFCOT标准，26例临床结果良好；根据奥瓦迪亚和比尔兹标准，24例放射学结果良好。未观察到骨关节炎病例。未报告皮肤并发症。
结论
本研究强调了一种新方法，在尚未达成共识的情况下，这种类型的骨折值得考虑采用该方法。
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