| Objective: To seek out an optical treatment scheme of Pilon fracture, and then to prevent posttraumatic arthritis ,restore function of ankle .Methods: In the literature section of this academic thesis ,author reviewed systematically the anatomy , mobility , dangerous factors and pathogenesis of Pilon fracture and so on .And specially stressed on diagnosis , classification and treatment of Pilon fracture .In clinical study section ,2leases which collected from 2002 to 2004 had been randomed into treatment -group and control-group. 13 in treatment and 8 in another. After ORIF ,cases in treatment group were managed by early CPM and xtinxi ,cases in control were treated only by early active motion .Result: We made out a rational treatment scheme of Pilon fracture through literature study: open reduction internal fixation , postoperative CPM and local xunxi ,which proved useful optimal by our clinical study .According to Mazur score, the rate of excellent was 69.2%, while50 %in control.Conclusion: Open reduction and internal fixation , postoperative CPM and local xunxi with Chinese medicine is an ideal management of Pilon fracture .It can effectively prevent the posttraumatic arthritis . |
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