摘要
目的总结胫骨髁骨折手术治疗的经验。方法对１９９０年１０月至１９９５年６月９２例（９３个）新鲜闭合性胫骨髁骨折手术治疗情况进行分析。随访８７例，随访时间１２～３６个月，平均１８．６个月。采用Ｒａｓｍｕｓｓｅｎ评分标准评定临床疗效。结果优７４例（８４％），良７例（８％），差７例（８％）。优良率占９２％。结论正确掌握和运用内固定技术是使胫骨髁骨折取得满意疗效的关键因素。注意事项有：（１）骨折应解剖复位；（２）利用松质骨螺丝钉或支撑钢板做坚强内固定，必要时行双髁固定；（３）塌陷部位应复位后植骨；（４）术后应早期使用ＣＰＭ活动膝关节。
Objective To analyse operative treatment of fresh and closed tibial condylar fractures.Method In 92 patients (93 fractures) 87 were followed up for 12￣36 months (average 18 6 months). A rasmussen′s 30 point knee rating system was used.Result 74 patients showed (84%) excellent results, 7 (8%) good and 7 (8%) poor.The success rate was 92%.Conclusion To ensure excellent clinical results proper internal fixation should be based on (1) anatomic redution; (2)adequate rigid internal fixation with screws or buttress plate(s) or both,and bicondylar fixation if necessary;(3) bone grafting onall depressed areas;(4)early knee mobilization using CPM after the operation and avoiding external plaster fixation.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1998年第5期264-266,I058,共4页
Chinese Journal of Surgery
关键词
胫骨
髁骨折
外科手术
疗效
Tibial fractures Surgery,operative Treatment outcome
