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双切口入路治疗复杂胫骨平台骨折22例 被引量:5

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摘要 目的:评价双切口入路治疗复杂胫骨平台骨折的疗效。方法:手术治疗复杂胫骨平台骨折22例,均为闭合性骨折。按照Schatzker分型标准:V型13肢,Ⅵ型10肢。均采用双切口入路,双钢板固定手术治疗。结果:随访12~22个月,平均14.6个月。术后骨折愈合时间6~9个月,平均7.4个月。其中1肢因关节面粉碎严重未达到解剖复位;1肢因干骺端粉碎严重未恢复下肢正常力线,出现膝内翻;2肢出现伤口表皮坏死,无骨外露,经换药处理后愈合。膝关节功能按R asm ussen评分标准评定:优10肢,良8肢,可2肢,差3肢。结论:双切口入路降低了软组织的并发症,有利于关节面复位;双钢板固定可靠,可早期行功能锻炼,是一种较好的治疗复杂胫骨平台骨折的手术入路和方法。
出处 《陕西医学杂志》 CAS 2010年第10期1350-1351,共2页 Shaanxi Medical Journal
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参考文献7

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二级参考文献15

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共引文献49

同被引文献25

  • 1王卫军.49例胫骨平台骨折内固定手术方式选择体会[J].河南外科学杂志,2010,16(3):47-48. 被引量:3
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