摘要：目的：进一步对闭合复位外固定架牵张固定治疗指骨Pilon骨折的安全性进行分析和探讨。方法：选取于2012年10月—2014年10月期间在我院采用闭合复位外固定架牵张固定进行治疗的32例指骨Pilon患者，把这些患者作为此次试验的样本，抽调患者的手术资料开展回顾研究观察患者取得的手术成效。结果：手术结束之后，本次抽取的患者其骨折情况都有所好转，部分患者在术后4个星期后开始拆除外固定架，骨折开始愈合，患者手指在固定期间，没有出现感染，通过手指关节总活动度标准对患者的手指功能进行评定，有优18例，良10例，一般2例，差2例，优良率为87.5%。结论：针对指骨Pilon骨折患者的治疗，采用闭合复位外固定架牵张固定方法可以使骨折伤者的受伤关节得到修复，逐步恢复原有功能，因此具有普及价值。

Abstract Objective: To investigate the safety of losed reduction external fixator with a fixed treatment in curing phalanx Pilon fracture. Methods: 32 cases of phalanx Pilon fracture in our hospital from October 2012 to October 2014 were selected as study objects. Retrospectively observed the surgical results of patients’ operation data. Results: After operation, fracture situation were improved, some patients removed the external fixator 4 weeks after fracture. The fracture started to heal, no infection appeared at fixation period. Evaluated the finger function according to total angle of motion, 18 cases excellent, 10 cases good, 2 case normal, 2 cases poor, the good rate was 87.5%. Conclusion: For patients with phalanx Pilon fracture, closed reduction external fixator with a fixed treatment can repair injured joints and gradually recover original function. It is worthy of wide application.