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《The Journal of Traditional Chinese Orthopedics and Traumatology》 2011-02
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Damage control theory in C-type pilon fractures

TANG Shao-long*,LI Feng-ping,ZHANG Wei-kang,et al.*Department of Orthopaedics,Wenling Hospital,Wenzhou Medical University,Wenling 317500,Zhejiang,China  
Objective:To assessment of the treatment of C-type Pilon fracture using damage control theory.Methods:Since June 2006 to May 2009 have recorded 105 cases were followed up for type C(AO classification) Tibial Pilon fracture patients,According to time from injury to surgery were divided into two groups: emergency surgery group,23 cases of emergency surgery after trauma experts 8h internal fixation open reduction.injury control group 82 cases,the use of damage control theory on the initial fracture and soft tissue treatment,at 7~24 d after injury,soft tissue swelling underwent open reduction and internal fixation,if necessary,After surgery in 3 to 4 months bone fracture line.Wound healing and fracture healing,Were observed after the operative.Reference Ovadia on the healing of tibial fractures Pilon evaluation of the ankle joint functional.Results:105 patients were followed up for 7 to 24 months,an average of 16.23 months.Emergency surgery complicated by infection in 3 patients,3 cases of incision dehiscence,one case of implant exposure,l cases of osteomyelitis;injury control group 2 cases of superficial infection,1 case of incision dehiscence,three cases of two bone graft,all patients were fracture healing.Damage control group was better than in the wound healing.Emergency surgery patients of fracture healing time was(15.0 ± 2.1) weeks.Injury control group(14.4 ± 2.8) weeks,emergency damage control surgery group with no significant difference in healing time(P 0.05).Reference Ovadia on the healing of fractures of the tibia Pilon evaluation: emergency operation group were excellent in 7 cases,good in 10 cases,4 cases and poor in 1 case,the fine rate was 73.9%;damage control were excellent in 41 cases,good in 32 cases,and 8 cases and poor in 1 case,the fine rate was 89.0%,damage control was better than the emergency operation group(P0.05).Conclusion:Damage control theory treatment of high energy tibial Pilon fractures,fewer complications,trauma,functional recovery,and recent results were satisfactory.
【CateGory Index】: R687.3
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