CAJ | 학술논문

目的：探讨通过微创技术治疗Schatzker V型及VI型胫骨平台骨折的疗效。方法从2010年1月至2013年7月,我们采用双锁定板小切口经皮置钉治疗SchatzkerV型及V[1]I型胫骨平台骨折21例，其中男15例,女6例,年龄最小25岁，最大66岁，平均年龄45.6岁,随访时间为6-18个月。结果在所有患者中,只有1例患者出现浅表伤口感染而发生延迟愈合，其余患者切口愈合良好，在随访期间骨折全部愈合，按改良H S S膝关节功能评分系统进行评分[2],得95以上分者15例,90分以上者4例,87分以上者2例。结论双锁定板小切口经皮置钉是治疗Schatzker V型及VI型胫骨平台骨折的理想方法，值得推广。
목적：탐토통과미창기술치료Schatzker V형급VI형경골평태골절적료효。방법종2010년1월지2013년7월,아문채용쌍쇄정판소절구경피치정치료SchatzkerV형급V[1]I형경골평태골절21례，기중남15례,녀6례,년령최소25세，최대66세，평균년령45.6세,수방시간위6-18개월。결과재소유환자중,지유1례환자출현천표상구감염이발생연지유합，기여환자절구유합량호，재수방기간골절전부유합，안개량H S S슬관절공능평분계통진행평분[2],득95이상분자15례,90분이상자4례,87분이상자2례。결론쌍쇄정판소절구경피치정시치료Schatzker V형급VI형경골평태골절적이상방법，치득추엄。
Objection To explore the curative effect of treatment of tibial plateau fracture of schatzker types V-VI by mimimal y invasive technology. Mehods From January 2010 to July 2013,we adopt double locking plate which was fixed by smal imcision and percutaneous nailing to treatment 21 cases of tibial pcateau fracture of schatzker types V-VI ,they were 15 males and 6 females,aged from 25 to 66 years (average ,45.6years).Al patients were fol owed up for 6 to 18months .Result Al of the patients the incisions healed wel except 1 case with superficial wound infection and delayed healing .They are al fractures healed during the fol ow-up period and 15 cases of more than 95 points and 4 cases of more than 90points and 2 cases of more than 87 points according to the improved scoring system for grading HSS knee joint fuction.Conclusion It is an ideal method and worth promoting to treatment of tibial plateau fractures of schatzker V-VI by double locking plate which was fixed by smal incision and percutaneous nailing.