CAJ | 학술논문

目的探讨胫骨平台Ⅱ型骨折的治疗方法及疗效.方法 2005年5月至2008年7月对17例胫骨平台Ⅱ型骨折患者,行切开复位支撑锁定钢板内固定并自体髂骨"骨柱"植骨手术,术后第3天行关节功能练习,2周后不负重行走.结果本组17例患者均获随访,随访时间2～36个月,平均13个月.按照Rasmussen评分标准,优13例,良4例.结论支撑锁定钢板固定并自体髂骨植骨治疗胫骨平台Ⅱ型骨折疗效满意.
목적 탐토경골평태Ⅱ형골절적치료방법급료효.방법 2005년5월지2008년7월대17례경골평태Ⅱ형골절환자,행절개복위지탱쇄정강판내고정병자체가골"골주"식골수술,술후제3천행관절공능연습,2주후불부중행주.결과 본조17례환자균획수방,수방시간2～36개월,평균13개월.안조Rasmussen평분표준,우13례,량4례.결론 지탱쇄정강판고정병자체가골식골치료경골평태Ⅱ형골절료효만의.
Objective To discuss the surgical technique/treatment and effect of locking buttress plate intemal fixation and autologous cortical bone stick graft in treating tibial plateau fracture of Schatzker Ⅱ.Methods From May 2005 to July 2008,17 patients with type Ⅱ tibial plateau fracture were treated by open reduction,locking buttress plate fixation and autologous iliae cotical bone stick graft.All patients started functional exercise 3 days postoperatively,and none weight-bearing walking after two weeks.Results All patients were followed up from 2 to 36 months,with an average time of 13 months.According to Lowa's functional grading system,the excellent,good cases were 13,4 cases respectively.Conclusions Satisfactory result can be achieved by locking buttress plate internal fixation and autologous cortical bone stick graft for tibial plateau fracture of Schatzker Ⅱ.