关键词: 胫骨骨折, Pilon骨折, 骨折固定术

Abstract:

【Abstract】Objective To discuss the curative effects on treating the tibial Pilon fracture with tibial anterolateral locking compression plate (LCP). Methods Thirty-one tibial Pilon fracture were treated from January 2006 to May 2011, including 28 males and 3 females aging from 18 to 65 (average 38.9). According to Ruedi Allgower classification system of Pilon fracture, typeⅠhad in two cases, typeⅡin 23 and type Ⅲ in 6. According to Tscheme-Gotzen graduation system of soft tissue injury, 25 cases were closed fracture, 2 cases were in grade 0, 16 cases in grade 1, 6 cases in 2, 1 case in 3, and 6 cases were open fracture, which were 4 cases in grade 1, 2 cases in 2. All patients were treated with LCP. Results The patients were followed up for 12 to 36 months (average 20). All fractures were healed at an average of 14 weeks ranging from 10 to 24 weeks. According to Tenny's and wiss radiological evaluation system, 80.6% of fractures were achieved to anatomical reduction. There were 16 cases excellent, 10 good, 4 fair, and one poor, with a good-to-excellent rate of 83.8% according to the Mazur's criteria. Conclusion Tibial anterolateral LCP can obtain desired reduction, firm fixation for treating Pilon fracture and is helpful for early functional exercise of joint and reduce complications.

Key words: Tibial fracture, Pilon fracture, Fracture fixation