CAJ | 학술논문

目的：评价手术治疗胫骨平台骨折的效果、预后以及并发症。方法回顾性分析55例手术治疗胫骨平台骨折患者的临床资料,包括一般临床资料、手术方式、影像学资料、实验室检查及预后等。结果全部入选患者根据Schatzker分型，采取经皮空心钉穿刺闭合复位内固定(CRIF)或使用支撑钢板切开复位内固定(ORIF)，必要时予以植骨及加用外固定支架，术后早期活动，6~8w方可负重。最终多数患者恢复良好，8例出现并发症或后遗症，无延迟愈合或骨折不愈合。结论手术治疗胫骨平台骨折有助于患者恢复膝关节功能，手术治疗的目的主要是骨折的复位和固定，恢复关节结构及稳定性，术后早期活动，减少创伤后关节炎发生的几率，最大限度地恢复膝关节的功能。
목적：평개수술치료경골평태골절적효과、예후이급병발증。방법회고성분석55례수술치료경골평태골절환자적림상자료,포괄일반림상자료、수술방식、영상학자료、실험실검사급예후등。결과전부입선환자근거Schatzker분형，채취경피공심정천자폐합복위내고정(CRIF)혹사용지탱강판절개복위내고정(ORIF)，필요시여이식골급가용외고정지가，술후조기활동，6~8w방가부중。최종다수환자회복량호，8례출현병발증혹후유증，무연지유합혹골절불유합。결론수술치료경골평태골절유조우환자회복슬관절공능，수술치료적목적주요시골절적복위화고정，회복관절결구급은정성，술후조기활동，감소창상후관절염발생적궤솔，최대한도지회복슬관절적공능。
Objective To evaluate the ef ects of surgical treatment in plateau fractures, and its prognosis and complications. Methods 55 cases of plateau fracture from Mar 2009 to Nov 2013 in our hospital were involved in this study. And their clinical data were analized retrospectively. Results The patient were treated with CRIF with percutaneous cannulated cancel ous screws or ORIF with but ress plate with or without bone grafting, external fixator according to SCHATZKER'S types. Early motion post operation were car ied out.No weight bearing upto 6~8 weeks. Most cases achieved good or higher outcome while 8 cases have compilcations or sequelas. No delayed union or ununion were observed. Conclusion Surgical treatment of tibial plateau fractures is advantageous to get excel ent anatomical reduction and a stable knee, to reduce post-traumatic osteoarthritis and thus to achieve optimal knee fuction.