CAJ | 학술논문

目的探讨用可吸收拉力螺钉治疗胫骨平台后髁骨折的临床疗效.方法自2004年3月至2008年6月采用可吸收拉力螺钉治疗12例胫骨平台后髁骨折患者.其中后外髁骨折4例,后内髁骨折8例;伴有前交叉韧带损伤7例.通过膝关节后内侧或后外侧切口复位骨折,可吸收拉力螺钉固定.结果本组所有患者都得到随访,随访时间6～24个月,平均13.4个月,所有患者切口愈合良好,未见感染情况.骨折均获得骨性愈合,平均愈合时间4个月.膝关节功能评定按Hohl评分标准:优10例,良2例.关节面未见明显塌陷情况.结论吸收拉力螺钉治疗胫骨平台后髁骨折是有效的临床治疗方法.
목적 탐토용가흡수랍력라정치료경골평태후과골절적림상료효.방법 자2004년3월지2008년6월채용가흡수랍력라정치료12례경골평태후과골절환자.기중후외과골절4례,후내과골절8례;반유전교차인대손상7례.통과슬관절후내측혹후외측절구복위골절,가흡수랍력라정고정.결과 본조소유환자도득도수방,수방시간6～24개월,평균13.4개월,소유환자절구유합량호,미견감염정황.골절균획득골성유합,평균유합시간4개월.슬관절공능평정안Hohl평분표준:우10례,량2례.관절면미견명현탑함정황.결론 흡수랍력라정치료경골평태후과골절시유효적림상치료방법.
Objective To evaluate the clinical effects of absorbable screw in the treatment of posterior condylar tibial plateau fractures. Methods Twelve patients with posterior condylar tibial plateau fractures were treated with absorbable screw from March 2004 to June 2008. In all patients, there were 4 cases with post-lateral condyle fractures and 8 cases with post-medial condyle fractures, and 7 cases with anterior cruciate ligament(ACL) injure. Open reduction by posterior medial or lateral approach and internal fixation with absorbable screw were performed in all patients. Results All patients were followed up for an average of 13.4 months ( ranged 6 to 24 months). No complication such as skin necrosis or wound infection was found postoperatively. All patients got bone union, the average time need four months. According to Hohl score of the knee joint function, 10 cases were excellent result and 2 cases were good. No joint surface collapse was found. Conclusions It' s a good method to treat posterior condylar tibial plateau fractures with absorbable screw.