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首页> 外文期刊>Open Journal of Urology >Advantages of Ilizarov External Fixation in an Elderly Patient with Pilon Fracture with Severe Soft Tissue Injury and Severe Osteoporosis: A Case Report
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Advantages of Ilizarov External Fixation in an Elderly Patient with Pilon Fracture with Severe Soft Tissue Injury and Severe Osteoporosis: A Case Report

机译：Ilizarov外固定在老年Pilon骨折严重软组织损伤和严重骨质疏松患者中的优势：一例报告

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Introduction: Pilon fracture in elderly individuals is characterized by senile skin atrophy, poor dermal extensibility, and thin subcutaneous tissue. The use of bulky internal fixation material can thus cause the swelling that accompanies the fracture to induce secondary injury to skin tissue. In addition, initiation of postoperative weight-bearing is delayed due to bone fragility and difficulties with partial weight-bearing, causing a tendency toward prolonged hospitalization. Mean duration of hospitalization after pilon fracture for elderly patients in our department was 79.2 days. Case Presentation: An 80-year-old woman with pilon fracture with soft tissue injury and severe osteoporosis was transferred to our department. The fracture was treated using Ilizarov external fixation. Fourteen days postoperatively, walking with full weight-bearing was permitted. The hospital stay was 28 days. The external fixator of the ankle was removed 87 days postoperatively, at which time the patient was anatomically and functionally recovered and able to walk unaided. Conclusion: Ilizarov external fixation may represent a useful option in elderly patients with pilon fracture showing severe soft tissue injury and severe osteoporosis. The present case provides evidence that this procdure can be successfully applied to the management of such pilon fractures in elderly patients.
机译：简介：老年人的Pilon骨折的特点是皮肤萎缩，皮肤延展性差和皮下组织薄。因此，使用笨重的内部固定材料会导致骨折伴随的肿胀，从而引起皮肤组织的继发性损伤。另外，由于骨脆性和部分负重的困难，延迟了术后负重的开始，导致住院时间延长的趋势。我科老年患者枕骨骨折后平均住院时间为79.2天。病例介绍：一名80岁患有pilon骨折，软组织损伤和严重骨质疏松症的妇女被转移到我科。使用Ilizarov外固定架治疗骨折。术后十四天，允许完全负重行走。住院时间为28天。踝关节外固定器在术后87天被移除，此时患者已在解剖学和功能上康复，并且能够独立行走。结论：Ilizarov外固定架可能是老年pilon骨折，严重软组织损伤和严重骨质疏松的老年患者的有效选择。本案提供的证据表明，该方法可以成功地应用于老年患者的此类pilon骨折的治疗。

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