Objective To analyze medial incision approach Pilon fracture after treatment clinical results. Methods A retrospective analysis of clinical data of 44 cases of Pilon fracture patients after the hospital admitted. Results 44 cases of Pilon fracture patients in this study were the medial incision line after the implementation of open reduction and internal fixation, its follow-up of 2 years; the average surgery time was (60.8 ± 15.7) min, mean postoperative hospital stay was (9.8 ± 2.1) days. 44 patients incisions healed, anatomical reduction was 93.2% (41/44 patients), patients mean healing time was (16.1 ± 2.1) weeks, when the last follow-up, patients AOFAS score excellent rate of 100%. Conclusion The medial incision approach adopted after Pilon fracture treatment effect is remarkable, reduction and fixation can effectively improve patient outcomes.%目的：分析后内侧入路切口治疗后 Pilon 骨折的临床效果。方法回顾性分析我院收治的44例后 Pilon 骨折患者的临床资料。结果本次研究的44例后 Pilon 骨折患者均行后内侧切口实施切开复位内固定治疗，对其随访2年；患者平均手术时间为（60.8±15.7）min，术后平均住院时间为（9.8±2.1）天。44例患者切口均一期愈合，解剖复位率为93.2%（41/44例）；平均愈合时间为（16.1±2.1）周，末次随访时，患者 AOFAS 评分优良率为100%。结论采用后内侧入路切口治疗后 Pilon 骨折患者的效果显著，可有效提高患者的复位及固定效果。
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