摘要
[目的]探讨胫骨平台骨折内固定治疗的临床疗效。[方法]回顾性分析本院1994年1月～2000年12月收治的胫骨平台骨折64例。骨折按Sehatzker分类，Ⅰ型8例，Ⅱ型40例，Ⅲ型6例，Ⅳ型4例，Ⅴ型3例，Ⅵ型3例，均采用切开复位内固定治疗，骨缺损者同时予以植骨。[结果]58例获得随访，随访期1～7a，平均2．8a，全部骨性愈合。按Hohl评分标准，优良率84．48％。[结论]手术是治疗胫骨平台骨折的有效方法，手术方法根据骨折的不同类型而异，术后并发症的发生与骨折的严重程度密切相关。解剖复位、骨缺损植骨、稳定的固定和早期功能锻炼是减少并发症的关键。术前必须重视软组织损伤的评估。
[ Objective] To investigate the clinical results of open reduction and internal fixation in the treatment of tibial plateau fractures. [ Method] Sixty-four cases of tibial plateau fractures were treated from January 1994 to December 2000 in our hospital. According to Schatzker classification, 8 cases were type Ⅰ , 40 cases were type Ⅱ ,6 cases type Ⅲ ,4 type Ⅳ,3 typeⅤ and 3 cases were type Ⅵ. They were treated with open reduction and internal fixation and allograft implantation for defective fractures. [Result]Fifty-eight cases were followed up from 1 to 7 years, with an average of 2.8 years. All the fractures united. The satisfactory rate was 84.48% based on Hohl scale. [ Conclusion] Internal fixation is an effective method to treat tibial plateau fracture, and the operation procedures should be varied with the fracture types. Complications after operation are closely associated with the fracture complexity. Anatomical reduction, bone transplantation, stable internal fixation, and early functional exercises are effective measures of preventing complications. Early treatment of soft tissue injury must be emphasized especially.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第18期1393-1396,共4页
Orthopedic Journal of China
关键词
胫骨平台
骨折
内固定术
tibia plateau
fracture
internal fixation
