中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
5期
16-17
,共2页
胫骨平台%骨折%外科手术%治疗效果
脛骨平檯%骨摺%外科手術%治療效果
경골평태%골절%외과수술%치료효과
Tibia Plateau Fractures%Surgical procedures%Operation%Treatment outcome
目的 探讨胫骨平台骨折疗效的影响因素,提出相应对策.方法 对2001年1月至2005年12月我院收治188例胫骨平台骨折手术治疗患者进行回顾分析.结果 127例得到随访,随访时间6个月～5年,平均27.6个月,17例出现并发症,发生率为13.38%.其中:复位不良3例,局部渗液3例,创口皮肤坏死1例,膝关节不稳1例,术后高度丢失4例,创伤性关节炎2例,畸形愈合1例,膝关节僵硬2例.结论 术前完整准确诊断能提高手术质量,合适的手术时机和合并症处理和预后密切相关.良好的骨折复位和妥当的内固定及植骨的选择是提高疗效的根本,科学合理的康复计划是手术疗效的保证.
目的 探討脛骨平檯骨摺療效的影響因素,提齣相應對策.方法 對2001年1月至2005年12月我院收治188例脛骨平檯骨摺手術治療患者進行迴顧分析.結果 127例得到隨訪,隨訪時間6箇月～5年,平均27.6箇月,17例齣現併髮癥,髮生率為13.38%.其中:複位不良3例,跼部滲液3例,創口皮膚壞死1例,膝關節不穩1例,術後高度丟失4例,創傷性關節炎2例,畸形愈閤1例,膝關節僵硬2例.結論 術前完整準確診斷能提高手術質量,閤適的手術時機和閤併癥處理和預後密切相關.良好的骨摺複位和妥噹的內固定及植骨的選擇是提高療效的根本,科學閤理的康複計劃是手術療效的保證.
목적 탐토경골평태골절료효적영향인소,제출상응대책.방법 대2001년1월지2005년12월아원수치188례경골평태골절수술치료환자진행회고분석.결과 127례득도수방,수방시간6개월～5년,평균27.6개월,17례출현병발증,발생솔위13.38%.기중:복위불량3례,국부삼액3례,창구피부배사1례,슬관절불은1례,술후고도주실4례,창상성관절염2례,기형유합1례,슬관절강경2례.결론 술전완정준학진단능제고수술질량,합괄적수술시궤화합병증처리화예후밀절상관.량호적골절복위화타당적내고정급식골적선택시제고료효적근본,과학합리적강복계화시수술료효적보증.
Objective To evaluate the effect for the surgical treatment of tibia plateau fracture and to discuss its inefficacious causes. Methods 188 eases of tibia plateau fracture were treated with open reduction and internal fixation from Jan. 2001 to Dec. 2005 in our departments. Factors affecting the clinical results were analyzed. Results 127 eases were followed up 6 months to 5 years and averaged 27.6 months. 17 patients had the operative complications. Poor prognostic rate was 13.38% ; including unsatisfactory reduction of the articular surface in three, wound effusions in three, superficial necrosis in one, the knee instability in one, experiencing height loss after operation in four, traumatic arthritis in two, malunion in one, and the ankylosis of knees in two. Conclusion Integrated and accurate diagnosis before the operation improves the quality of the operation. Appropriate for surgical procedure time is firmly concerned with complications. Nice reduction of fracture and proper choice of internal fixation and bone graft is the key to achieve excellent results. Scientific and reasonable plan of rehabilitation is very important.
