Clinical effect analysis of primary bone graft and VSD for open and complex pilon fractures
10.3760/cma.j.issn.1673-4203.2014.08.006
- VernacularTitle:一期植骨结合VSD治疗严重开放性Pilon骨折的疗效分析
- Author:
Dawei TIAN
;
Min XIONG
;
Hongsheng HE
;
Xiaohua HUANG
;
Hui ZHAO
;
Peng ZHANG
- Publication Type:Journal Article
- Keywords:
Fractures,bone;
Primary bone graft;
VSD;
Complex and open Pilon fractures;
Treatment outcome;
Retrespective studies
- From:
International Journal of Surgery
2014;41(8):521-524,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of primary bone graft and VSD for open and complex Pilon fractures.Methods Fifty-six cases with open and complex Pilon fractures admitted in Dongfeng general hospital between January 2010 and January 2011 were treated with primary bone graft and VSD,the clinical datum were collected,for example soft tissue union,fracture union,incidence rate of traumatic arthritis,ankle article function scores.Results Fracture healed,no soft tissue infection happened,according to Helfer scores criteria,there were 22 excellent,21 good,8 fair,5 poor,excellent and good rate were 76.8%.Conclusions The method of primary bone graft and VSD resolved many questions simultaneously,for example fracture fixation,bone defect and soft tissue coverage,which has feature of simpler operation,lower infection incidence rate,better fracture union and article function than conventional methods.