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Analysis of the efficacy of a modified posteromedial approach for klammer iii posterior Pilon fractures

Chinese Journal of Traumatology 2022年第2期25卷 83-89页

作者： Zheng-Chao Zhang Wu-Bing He Hao Lin Department of Emergency Surgery Fujian Provincial HospitalFuzhou350001China Provincial Clinical Medical College of Fujian Medical University Fuzhou350001China

Purpose:To analyze the curative effect and technical points of a modified posteromedial approach in the treatment of klammer iii posterior Pilon ***:A retrospective analysis of patients with klammer iii posterior Pilon fractures were conducted in our department from January 2018 to December *** the surgery,the patients were fully relieved of swelling and pain,and a comprehensive examination was carried *** posteromedial approach exposed the posterior and medial fracture block of the distal *** to the fracture of external malleolus,it is determined whether to combine a lateral incision and protect tendons and vascular nerves by a retractor,and then perform a fracture reduction and internal ***,the patients were treated with analgesia,detumescence,anticoagulation and rehabilitation *** American orthopaedic foot and ankle society(AOFAS)score and visual analogue score were recorded at regular follow-up after surgery.A t-test was used for the comparison of the preoperative and final AOFAS ***:There were 7 male and 13 female(n=20)included in the study,aged 22 to 88 years(average age 54.2 years).The injury mechanisms were falling from a height(n=7),traffic accident(n=6),walking injury(n=2)and heavy injury(n=5).The postoperative follow-up duration was 12—24 months(mean 16.95 months).The AOFAS score of the 20 patients before and after surgery were *** preoperative AOFAS score was 38.90±3.91,and the final AOFAS score was 80.55±4.20,(pklammer iii posterior Pilon fractures,the modified posteromedial approach can fully expose the fracture block and the collapsed articular surface of the medial malleolus,achieve

关键词： Posterior pilon fracture klammer iii type Modified posteromedial approach

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