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目的：评估锁定加压钢板接骨术治疗胫骨Pilon 骨折的应用价值。方法：2006 年4 月-2010 年12 月，对48 例胫骨Pilon 骨折患者，采用锁定加压钢板（LCP）治疗的结果进行总结。手术前后运用AOFAS（美国足与踝关节协会）踝与后足功能评分（Ankle- Hindfoot Scale）系统进行治疗效果的评估。结果：本组按AOFAS 踝与后足功能评分系统：术前平均为(67.6±7.4)分，可18 例，差30 例；术后评分改善到平均为(90.9±7.2)分，优19 例，良21 例，可5 例，差3 例，踝与后足功能评分术前与术后比较，差异有统计学意义(P＜0.05)。结论：用锁定加压钢板接骨术治疗胫骨Pilon 骨折，有利于踝关节功能恢复，疗效确切，适应症广泛，较其他内固定器而言，锁定加压钢板在临床上更适用。

英文摘要:

Objective: To evaluate the feasibility and value of locking compression plate osteosynthesis in the treatment of tibial Pilon fracture. Methods: Between April 2006 and December 2010, the results of treatment of tibial pilon fracture with locking compression plate osteosynthesis in 48 patients were reviewed. By AOFAS Ankle-Hindfoot Scale System determine the preoperative and postoperative therapeutic effect of locking compression plate osteosynthesis for the treatment of tibial pilon fractures . Results: The ankle-hindfoot function were evaluated by AOFAS Ankle-Hindfoot Scale System: The ankle -hindfoot score of preoperative was 69.6 ±7.3 (mean±standard deviation), fair in 18 cases and poor in 30 cases; the ankle-hindfoot score of postoperativewere 90.2±7.8 (mean± standard deviation), excellent in 19 cases, good in 21 cases, fair in 5 cases and poor in 3 case, the preoperative and postoperative ankle-hindfoot function score were showed significant difference (P<0.05). Conclusions: Osteosynthesis with locking compression plate is an effective treatment for tibial pilon fracture for good effects of ankle-hindfoot functional recovery and more extensive indications than using other internal fixators, so it is more commonly used in clinic.

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