中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
10期
4-5
,共2页
胫骨平台骨折%骨折内固定术%手术治疗
脛骨平檯骨摺%骨摺內固定術%手術治療
경골평태골절%골절내고정술%수술치료
Tibial plateau fracture%Fracture internal fixation%Surgical management
目的：探讨复杂胫骨平台骨折手术治疗与疗效。方法：回顾性分析我院2007年1月～2012年1月32例Schatzker V、Ⅵ型胫骨平台骨折患者。32例均接受切开复位钢板螺钉内固定治疗，骨缺损处取自体髂骨或同种异体骨植骨。对患者进行术后至少12个月随访，并评估术后临床及影像学效果。结果：32例均获得随访，时间12～60个月，平均19个月，所有骨折均获得愈合，其中2例术后伤口出现脂肪液化，1例复位丢失。术后12个月膝关节屈曲度80°～135°。膝关节功能HSS评分：优23例，良6例，可3例，优良率达到90．6％。结论：外科手术是治疗复杂胫骨平台骨折十分有效的方法，正确选择手术入路、骨折复位固定、早期康复锻炼是影响复杂胫骨平台骨折患者术后疗效的主要因素。
目的：探討複雜脛骨平檯骨摺手術治療與療效。方法：迴顧性分析我院2007年1月～2012年1月32例Schatzker V、Ⅵ型脛骨平檯骨摺患者。32例均接受切開複位鋼闆螺釘內固定治療，骨缺損處取自體髂骨或同種異體骨植骨。對患者進行術後至少12箇月隨訪，併評估術後臨床及影像學效果。結果：32例均穫得隨訪，時間12～60箇月，平均19箇月，所有骨摺均穫得愈閤，其中2例術後傷口齣現脂肪液化，1例複位丟失。術後12箇月膝關節屈麯度80°～135°。膝關節功能HSS評分：優23例，良6例，可3例，優良率達到90．6％。結論：外科手術是治療複雜脛骨平檯骨摺十分有效的方法，正確選擇手術入路、骨摺複位固定、早期康複鍛煉是影響複雜脛骨平檯骨摺患者術後療效的主要因素。
목적：탐토복잡경골평태골절수술치료여료효。방법：회고성분석아원2007년1월～2012년1월32례Schatzker V、Ⅵ형경골평태골절환자。32례균접수절개복위강판라정내고정치료，골결손처취자체가골혹동충이체골식골。대환자진행술후지소12개월수방，병평고술후림상급영상학효과。결과：32례균획득수방，시간12～60개월，평균19개월，소유골절균획득유합，기중2례술후상구출현지방액화，1례복위주실。술후12개월슬관절굴곡도80°～135°。슬관절공능HSS평분：우23례，량6례，가3례，우량솔체도90．6％。결론：외과수술시치료복잡경골평태골절십분유효적방법，정학선택수술입로、골절복위고정、조기강복단련시영향복잡경골평태골절환자술후료효적주요인소。
Objective:To investigate the clinical outcome of surgical treatment of the complex tibial plateu fracture ( TPF) .Methods:A retrospective review was performed for surgical treatment for the complex tibial plateu fracture of Schatzker V and Ⅵin 32 patients from January 2008 to January 2012.32 cases were accepted steel screw internal fixation ,and bone defect filling with the ilium or allogeneic bone graft.Assessment of postoperative clinical and radiographic results was done after 12 months.Results:The patients were followed up for 12~60 ( mean 10) moths.The fractures were healed in all the cases .Postoperation the wound fat liquefaction in 2 and Reset lost in 1.The flexion of knee was 80 °~135 °after 12 months.According to HSS knee function score system , there were 23 excellent cases , 6 good , 3 cases, fine rate reached 90.6%.We treated 32 cases of TPF using the external fixator Lateral locking plate and double plates were used in 22 aged patients with tibial plateau fracture of Schatzker V and Ⅵ.Assessment operation effect was done by evaluation of postoperative complications and flexion , function, and stability of knee.Results:All patients were followed up for 7~32 months.The flex-ion of the knee was 80°~135°.According to HSS knee function score system , there were 14 excellent cases,6 good and 3 fair(fine rate reached 12%) .Conclusion:Surgical treatment of complex tibial plateau fractures was a very effective method .The correct selection of surgical approach , fracture reduction and fixation , early rehabilitation exercise could affect the postoperative curative effect of patients with complex tibial plateau fractures .
