Objective To discuss the select of treatment,time of surgery and prevention of complications for type Ⅲ Pilon fractures.Methods Follow-up were done for 31 patients with Pilon fracture who had been treated in our department during April 2003 and July 2009.Their average age was 36.3 years(ranging from 21 to 64 years).6 cases were open fracture,and 25 cases were closed fracture.23 cases were accompanied with fibular fracture.23 cases of tibiae fracture fixed with plate,6 cases were treated with limited internal fixation with screw and Kirschner wire,2 cases were treated with the external fixators combined with limited internal fixation.Results With the 6～22 months follow-up after the operation(average 12 months).According to Mazur's criteria,the result was evaluated as excellent in 3 cases,good in 23 cases,fair in 3 cases and poor in 2 cases.The excellent and good recovery rate was 83.87%.Conclusion Many factors can affect the prognosis of complicated Pilon fracture,the key points for a successful operation are careful assessment of the injury,right treatment and timing of surgery,and practice after operation.

目的:探讨社区中老年居民中开展慢性病健康教育的培训效果。方法:通过讲课前作高血压慢病常识问卷,讲课后再次作高血压慢病常识问卷,对两次问卷分数进行分析。结果:讲课前答卷分数最低0分,最高66分,平均36分;讲课后最低28分,最高90分,平均74分,高血压常识知晓率得到明显提高(P<0.01)。结论:目前社区中老年居民对于高血压等慢性病知识了解掌握普片不足,通过社区多媒体教学宣传慢性病健康常识,可以大大提高中老年居民健康意识,对于慢性病以及并发症的一级预防具有积极意义。