| 任戈亮,余承保,朱玉洲,等.双切口3至4块钢板固定治疗累及后内侧柱的复杂胫骨平台骨折15例疗效分析[J].安徽医药,2018,22(8):1548-1550. |
| 双切口3至4块钢板固定治疗累及后内侧柱的复杂胫骨平台骨折15例疗效分析 |
| The treatment analysis of complex tibial plateau fractures involving osteromedial column using double incisions and 3 to 4 plates fixation |
| 投稿时间：2017-07-28 |
| DOI： |
| 中文关键词: 胫骨平台骨折 后内侧柱 双切口 内固定 |
| 英文关键词: Tibial frectures Posteromedial column Double incisions Internal fixation |
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| 摘要点击次数: 1880 |
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| 中文摘要: |
| 目的 探讨双切口3至4块钢板固定治疗累及后内侧柱的Schatzker Ⅴ、Ⅵ型复杂胫骨平台骨折的临床疗效。方法 2013年1月至2015年12月采用前外侧联合后内侧倒L形双切口,外侧1块3.5 mm锁定钢板,内侧及后内侧2至3块3.5 mm小钢板固定治疗累及后内侧柱的Schatzker Ⅴ、Ⅵ型复杂胫骨平台骨折患者15例,分析术后复位效果及随访时膝关节功能情况,评估手术临床疗效。结果 15例均获随访,随访时间18~30个月,平均24个月。术后骨折复位效果满意,末次随访时复位无丢失,骨折均愈合,膝关节活动度0~135°,平均115°。膝关节功能采用HSS评分标准评定:优10例,良2例,可3例,差0例,优良率80%。结论 对于累及后内侧柱的SchatzkerⅤ、Ⅵ型复杂胫骨平台骨折,采用双切口,3至4块3.5 mm钢板固定,可以获得有效固定,膝关节功能恢复良好,并发症少,疗效满意。 |
| 英文摘要: |
| Objective To explore the clinical effects of Schatzker Ⅴ, Ⅵ complex tibial plateau fractures involving posteromedial column using double incisions and 3 to 4 plates fixation. Methods 15 patients with Schatzker Ⅴ, Ⅵ complex tibial plateau fractures involving posteromedial column who had been treated from January 2013 to December 2015 were reviewed, who were treated by anterolateral approach combined with posteromedial inverse Lshaped approach. The fractures were fixated by one 3.5 mm locking plate in lateral plus 2 to 3 3.5 mm small plates in medial and posteromedial. The reduction effects and knee joints function after surgery and at the time of follow-up and evaluated the clinical efficacy of the operation were analyzed.Results 15 patients were all followed up within 18-30 monthes, averaged 24 monthes. The reduction effects after surgery were satisfactory and maintained stable. All fractures were union and the range of knee joints motion were 0-135°(averaged 115°) at the time of the latest follow-up. According to the HSS scores at the final follow-up, 15 patients were rated 18 as excellent, 2 as good, 4 as fair and no one as poor, giving an axcellent to good rate of 80%.Conclusion 3 to 4 3.5 mm plates through anterolateral approach combined with posteromedial inverse Lshaped approach is a fine treatment for SchatzkerⅤ, Ⅵ complex tibial plateau fractures involving posteromedial column, resulting in effective fixation, satisfactory functional recovery and limited complications. |
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