摘要
目的:探讨改良前外侧入路锁定钢板内固定治疗胫骨平台后外侧骨折的临床疗效.方法:2015年11月-2017年9月期间,采用改良前外侧入路锁定钢板内固定治疗胫骨平台后外侧骨折患者17例,其中男10例,女7例,年龄25-61岁,平均46.3岁.结果:手术切口均Ⅰ期愈合,无皮肤坏死、切口及深部感染、神经血管损伤及深静脉血栓形成等.所有患者均获随访,随访时间6-16个月,平均11.7个月,采用Rasmussen评分标准评定膝关节功能,临床优良率为94.12%(16/17);对所有患者术前、术后的胫骨平台内翻角和后倾角进行对比,差异明显,P<0.05;术后3天、术后6个月的胫骨平台内翻角和后倾角进行对比,无明显差异,P﹥0.05,终末随访未见骨折复位高度丢失.结论:经改良前外侧入路采用锁定钢板内固定治疗胫骨平台后外侧骨折,对患者的创伤较小,复位及固定良好,有利于早期功能锻炼,临床疗效满意.
Objective:To explore the clinical effect of modified anterior lateral approach locking plate for the treatment of posterior lateral fracture of tibial plateau.Methods:From November 2015 to September 2017,the anterolateral approach to improvement of locking plate internal fixation treatment of 17 patients with posterolateral bone fracture of tibial plateau,among them,10 cases were male,female 7 cases,aged 25 to 61 years old,average 46.3 years.Results:The incision areⅠhealing,no necrosis,skin incision and deep infection,nerve vascular injury and deep vein thrombosis,etc.All patients were followed up for 6-16 months,with an average of 11.7 months,with a Rasmussen scoring standard for knee joint function,and the clinical excellence rate was 94.12%(16/17).In all patients,there was a significant difference between the Angle of the tibial plateau and the posterior inclination of the tibial plateau before and after surgery,and P<0.05;After 3 days and 6 months after surgery,there was no significant difference between the Angle of the tibial plateau and the posterior dip Angle,P>0.05,and no reduction of fracture height was seen in the final follow-up.Conclusion:The anterolateral approach to improve the locking plate internal fixation treatment of posterolateral bone fracture of tibial plateau,for patients with less trauma,good reduction and fixation,early functional exercise and clinical curative effect is satisfied.
作者
何海军
阚鹏
张亮
HE Hai-jun;KAN Peng;ZHANG Liang(Jiangyin traditional Chinese medicine bone injury hospital,Jiangyin 214422)
出处
《中国伤残医学》
2018年第23期11-13,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
改良前外侧入路
锁定钢板内固定
胫骨平台后外侧骨折
Improving the forward lateral approach
Locking plate internal fixation
Posterior lateral fracture of tibial plateau
