CAJ | 학술논문

目的探讨胫骨平台骨折的手术治疗方法及疗效.方法回顾分析107例胫骨平台骨折手术患者资料,骨折类型按Schatzker分型:Ⅰ型2例,Ⅱ型37例,Ⅲ型29例,Ⅳ型22例,Ⅴ型10例,Ⅵ型7例.除Ⅰ型2例采用空心加压螺钉固定外,其余均采用开放复位、钢板内固定、骨缺损者同时予以植骨,对手术操作特点及术后关节功能进行分析.结果 107例术后均获随访,随访时间15个月至8年,平均28.8个月,骨折全部愈合.膝关节功能参照Mechant评分标准:优62例,良24例,可17例,差4例,优良率80.37%.结论外科手术是治疗胫骨平台骨折十分有效的方法.
목적 탐토경골평태골절적수술치료방법급료효.방법 회고분석107례경골평태골절수술환자자료,골절류형안Schatzker분형:Ⅰ형2례,Ⅱ형37례,Ⅲ형29례,Ⅳ형22례,Ⅴ형10례,Ⅵ형7례.제Ⅰ형2례채용공심가압라정고정외,기여균채용개방복위、강판내고정、골결손자동시여이식골,대수술조작특점급술후관절공능진행분석.결과 107례술후균획수방,수방시간15개월지8년,평균28.8개월,골절전부유합.슬관절공능삼조Mechant평분표준:우62례,량24례,가17례,차4례,우량솔80.37%.결론 외과수술시치료경골평태골절십분유효적방법.
Objective To investigate the surgical techniques and curative effect for the treatment of tibial plmeau fracture. Methods Totally 107 cases( male 62 cases;female 45 cases) of tibia plateau fractures were operated with internal fixation from January 2000 to December 2006 in our hospital. According to Schatzker classification,there were type Ⅰ fracture 2 cases,type Ⅱ 37 cases,type Ⅲ 29 cases,type Ⅳ 22 cases,type Ⅴ 10 cases,type Ⅵ 7 csses. Type Ⅰ fractures were treated with cannulated screws,other type fractures were treated by open reduction,internal fixation with buttress plates,and bone graft if bone defect existed. The therapeutic characteristics and the functions of the knee were evaluated. Results 107 cases cases were followed-up for 15 ～96 months,mean 28. 8 months.All fractures were healed without any complications. The knee Merchant scores were excellent in 62 cases, good in 24 cases,common in 17 cases,bad in 4 cases. The rate of fineness was 80. 37%. Conclusion Surgical operation is effective methods of treating tibia plateau fracture.