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后路内外侧联合入路治疗后Pilon骨折

Orthopaedics(2017)

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Abstract
随着建筑业的发展,高处坠落产生垂直压缩及旋转暴力致使力作用于较大的胫骨远端后方,造成内外踝骨折伴胫骨关节面压缩,现代骨折将其定义为后Pilon骨折[1].后Plion骨折是一种由中等能量损伤造成的特殊骨折类型,损伤程度介于踝关节骨折与传统Pilon骨折之间,其骨折线贯穿整个后踝冠状面,累及内踝后丘,甚至延伸至内踝前丘,后踝关节面塌陷伴内踝及外踝骨折.
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