中国伤残医学2024，Vol.32Issue(3)：10-13,4.DOI:10.13214/j.cnki.cjotadm.2024.003.003
分期治疗65岁以上老年Gustilo Ⅲ A型Pilon骨折效果分析
Analysis of the Curative Effect of the Treatment of Gustilo Ⅲ A Pilon Fracture in the Elderly Over 65 Years Old by Stages
摘要
Abstract
Objective:To investigate the method and effect of staging therapy combined with nutritional support for Gustilo ⅢA open Pilon fracture over 65 years old.Methods:The clinical data of 36 patients over 65 years old with Gustilo ⅢA type open Pilon fracture who received staging treatment with external fixation and internal fixation combined with nutritional support in our hospital from December 2015 to December 2021 were retrospectively analyzed.Results:A total of 36 patients were followed up for(16.3±5.2)months on average.The average clinical healing time of fractures was 9.3 months.At the last follow-up,the rate of fracture healing was 80.56%.There was no callus growth at the fracture end of 4 patients after surgery,2 of them healed after bone grafting 6 months after internal fixation,and 1 patient had wound skin necrosis and scar healing after removal of internal fixation and VSD suction dressing change.Conclusion:Staging treatment with external fixation combined with internal fixation for Gustilo ⅢA Pilon open fracture over 65 years old can provide good stability in the early stage,improve the clinical symptoms of patients,facilitate the treatment of wounds,and reduce the incidence of bone nonunion,osteomyelitis and other complications.关键词
老年/外固定架/内固定/分期治疗Key words
Old age/External fixed frame/Internal fixation/Staging treatment分类
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王镭,康树青,王向..分期治疗65岁以上老年Gustilo Ⅲ A型Pilon骨折效果分析[J].中国伤残医学,2024,32(3):10-13,4.
