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目的：研究对Pilon 骨折手术疗效带来负面影响的相关因素。方法：随机选取接受Pilon骨折手术的90例患者作为研究对象。胫骨固定通过螺钉与克氏针有限内固定并用外固定予以辅助，或者依照AO内固定原则采取钢板内固定同时植骨。结果：依照Mazur 等拟定的踝关节症状分析和功能评分系统，优良率达到75.5%。结论：Pilon 骨折手术疗效的影响因子主要包括骨折类别、胫骨关节面的复位情况与手术时间、腓骨骨折的复位与固定、移植骨的填充与钢板支撑固定等诸多原因。“,”Objective To study the related factors which impact the surgical treatment of Pilon fractures.Methods Selected 90 patients who accepted Pilon fracture as research subjects randomly. Fix tibia by screws and Kirschner limited internal fixation and assisted by external fixation , or take bone plate fixation in accordance with the principles within the AO.Results In accordance with Mazur and other symptoms of ankle and functional scoring system elaborated, excellent rate is up to 75.5%.Conclusion The factors that influence Pilon fracture surgery including fracture type, reattachment of the articular surface of the tibia and surgical time, reduction and fixation of the fibula fracture, bone graft filled with steel support fixed and so on.