摘要
目的评价内外侧联合入路双钢板治疗SchatzkerⅤ/Ⅵ型胫骨平台骨折的疗效。方法回顾分析2008年9月至2010年8月应用内外侧联合入路双钢板治疗SchatzkerⅤ/Ⅵ型胫骨平台骨折22例,其中男16例,女6例;平均年龄37.5岁;根据Schatzker分型:Ⅴ型14例,Ⅵ型8例。手术利用内外侧联合入路切开复位双侧钢板内固定,术后早期膝关节功能锻炼。结果 22例患者均获随访,随访时间9～31个月,平均18.6个月。术后切口均Ⅰ期愈合,无并发症发生。根据Iowa膝关节功能评分标准评定:优15例,良4例,可2例,差1例,优良率86.4%。结论双切口降低了并发症发生,双钢板提供了坚强内固定,利于早期功能锻炼,内外侧联合入路双钢板治疗SchatzkerⅤ/Ⅵ型胫骨平台骨折是安全有效的治疗方法。
Objective To explore the clinical effect of Surgical treatment of schantzker type V and VI tibial plateau fractures with double plates through combined approach. Methods twenty-two patients with Schatzker type V and VI tibial plateau fractures underwent double plates treatment through combined approach from September 2008 to August 2010. Of them, 16 were male and 6 were female,with an average age of 37.5 years. According to Schatzker classification,there were 14 cases of type V and 8 cases of type VI. The fractures were treated with open reduction and double plates fixation through anterolateral and posteromedial combined approaches, Rehabilitation of the knee joint was started early after surgery. Results Twenty-two patients were followed up for 9 to 31 months with an average of 18.6 months. All wounds achieved healing by first intention without complications. According to Iowa score system, the results were excellent in 15 cases, good in 4 cases, fair in 2 cases and poor in 1 case. The excellent and good rate was 86.4~. Conclusion The combined approaches technique resulted in accurate fracture reduction with low tissue complication rate,and double plates treatment achieved improved stabilization which enabled rehabilitation of the knee joint was started early after surgery. Double plates treatment with anterolateral and posteromedlal combined approaches was a safe and effective technique for sehatzker type V and VI tibial plateau fractures.
出处
《中国冶金工业医学杂志》
2012年第1期1-3,F0003,共4页
Chinese Medical Journal of Metallurgical industry
关键词
胫骨平台骨折
联合入路
双钢板
Tibial plateau fracture
Combined approach
Double plates
