CAJ | 학술논문

目的探讨锁定钢板内固定结合植骨治疗胫骨平台骨折的临床疗效.方法对43例胫骨平台骨折患者采取切开复位、植骨、锁定钢板固定,早期膝关节功能锻炼.结果所有患者获8 ～14个月(平均10个月)的随访,骨折均获骨性愈合,骨折愈合时间平均为6.9个月.膝关节功能参照HSS评分标准,优30例,良9例,可3例,差l例,优良率为90％.结论锁定钢板内固定结合植骨为治疗胫骨平台骨折提供了持续、稳定的固定,有效地防止了骨折再移位、关节面二期塌陷,临床疗效满意.
목적 탐토쇄정강판내고정결합식골치료경골평태골절적림상료효.방법 대43례경골평태골절환자채취절개복위、식골、쇄정강판고정,조기슬관절공능단련.결과 소유환자획8 ～14개월(평균10개월)적수방,골절균획골성유합,골절유합시간평균위6.9개월.슬관절공능삼조HSS평분표준,우30례,량9례,가3례,차l례,우량솔위90％.결론 쇄정강판내고정결합식골위치료경골평태골절제공료지속、은정적고정,유효지방지료골절재이위、관절면이기탑함,림상료효만의.
Objective To explore the clinical effect of bone allograft plus interlock plate internal fixation in the treatment of tibial plateau fractures.Methods 43 patients with tibial plateau fractures were treated by open reduction,bone allograft,locking plate fixation and early knee joint function training.Results All patients were followed up for 8 ～ 14 months with an average of 10 months.All patients achieved bone union and the duration of union was averaged 6.9 months.Knee joint function was rated based on HSS score system as excellent in 30 cases,good in 9 cases,fair in 3 cases and poor in 1 case.The excellent and good rate was 90％.Conclusion Reliable effect can be achieved for fracture of tibial plateau treatment with bone allograft plus interlock plate internal fixation.It provides satisfactory function of the knee.It has many advantages,such as stable and durable fixation and avoidance of secondary compression of tibial plateau.