CAJ | 학술논문

目的：通过应用锁定钢板治疗复杂中老年胫骨平台骨折，观察其临床疗效，探讨中老年胫骨平台复杂骨折的治疗方法。方法2009年3月～2012年6月，采用锁定钢板治疗中老年复杂胫骨平台骨折22例，男18例、女4例；年龄40～55岁，平均48岁。骨折按Schazker分型：Ⅴ型13例，Ⅵ型9例。术中取内后侧切口及前外侧切口，于胫骨前外侧及后内侧置入锁定钢板进行内固定。患者术后1个月、3个月，半年及1年常规摄X线片。术后3个月后逐渐完全负重，最后1次随访时按Honkonen-Jarvinen 标准对患者进行评分。结果22例均获随访，时间12～24个月，平均18个月，骨折平均愈合时间5个月。骨折愈合20例，延迟愈合2例。结论锁定钢板治疗中老年复杂胫骨平台骨折提供了持续稳定的固定，防止骨折的Ⅱ期移位和膝关节力线改变，术后膝关节功能恢复满意。
목적：통과응용쇄정강판치료복잡중노년경골평태골절，관찰기림상료효，탐토중노년경골평태복잡골절적치료방법。방법2009년3월～2012년6월，채용쇄정강판치료중노년복잡경골평태골절22례，남18례、녀4례；년령40～55세，평균48세。골절안Schazker분형：Ⅴ형13례，Ⅵ형9례。술중취내후측절구급전외측절구，우경골전외측급후내측치입쇄정강판진행내고정。환자술후1개월、3개월，반년급1년상규섭X선편。술후3개월후축점완전부중，최후1차수방시안Honkonen-Jarvinen 표준대환자진행평분。결과22례균획수방，시간12～24개월，평균18개월，골절평균유합시간5개월。골절유합20례，연지유합2례。결론쇄정강판치료중노년복잡경골평태골절제공료지속은정적고정，방지골절적Ⅱ기이위화슬관절력선개변，술후슬관절공능회복만의。
Objective Locking plate in the treatment of complex tibial plateau fractures in the elderly by the applica -tion, to observe its clinical curative effect , study the method of treatment of complex tibial plateau fractures in the elder-ly.Methods in 2009 March to 2012 June, using locking plate treatment in elderly patients with complex tibial plateau fractures in 22 cases, male 18 cases, female 4 cases;age 40 ~55 years, average 48 years old.According to Schazker classification:V type in 13 cases, 9 cases of type VI.The inner rear side incision and anterior lateral incision , to the tibia anterolateral and posteromedial placement of locking plate internal fixation .1 months, 3 months after surgery, 6 months and 1 years of conventional perturbation X ray .After 3 months after the full weight bearing , the last 1 times dur-ing the follow-up of patients were scored according to Honkonen -Jarvinen standard.Results 22 cases were followed up, time 12~24 months, average 18 months, the average healing time of 5 months.The fracture healed in 20 cases, de-layed union in 2 cases.Conclusions Locking plate for the treatment of complex tibial plateau fractures in the elderly with continuous stability of fixation , preventing the fracture of phase Ⅱshift and the knee joint force line change , postop-erative knee function recovery satisfaction .