Brumback R J, McGarvey W C
R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, USA.
Orthop Clin North Am. 1995 Apr;26(2):273-85.
Pilon fractures represent a most difficult challenge to the orthopedist. Assessment of the degree of energy causing the fracture and careful planning of the joint reconstruction will lead to acceptable results in most cases. High-energy pilon fractures should be treated with great care and respect because the risk of complications is high and the likelihood of a good functional ankle is less predictable. Detailed and individualized postoperative care coupled with a knowledge of salvage procedures, should complications develop, are needed to treat the full spectrum of pilon injuries.
Pilon骨折对骨科医生来说是一项极具挑战性的难题。评估导致骨折的能量程度并精心规划关节重建，在大多数情况下会取得可接受的结果。高能Pilon骨折的治疗需要格外谨慎，因为并发症风险高，且踝关节功能良好的可能性较难预测。若出现并发症，需要详细且个性化的术后护理以及对挽救手术的了解，才能应对各类Pilon损伤。
