| 张逸飞,周业金.经后外侧入路治疗单独性后外侧胫骨平台劈裂塌陷骨折11例[J].安徽医药,2019,23(3):554-556. |
| 经后外侧入路治疗单独性后外侧胫骨平台劈裂塌陷骨折11例 |
| A posterolateral approach for the treatment of isolated posterolateral split and depression fractures of the tibial plateau |
| 投稿时间：2017-05-31 |
| DOI： |
| 中文关键词: 膝关节后外侧入路能够有效显露手术区域,内固定方便、创伤小、临床疗效满意,是治疗单独胫骨后外侧平台劈裂塌陷骨折较理想的入路。 关键词:胫骨骨折 骨折固定术 后外侧入路 |
| 英文关键词: Tibial fractures Fracture fixation Posterolateral approach |
| 基金项目: |
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| 摘要点击次数: 2875 |
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| 中文摘要: |
| 目的 探讨经膝关节后外侧手术人路治疗单独性后外侧胫骨平台劈裂塌陷骨折的疗效。 方法 2014年4月至2016年4月,采用后外侧入路对11例单纯后外侧胫骨平台劈裂塌陷骨折病人进行钢板固定治疗,男4例,女7例；年龄45.8岁,年龄范围18～72岁。致伤原因:交通伤5例,高处坠落伤3例,其它伤3例,合并伤:合并腓骨小头骨折2例,内侧副韧带损伤1例。 结果 所有病人术后获12～31个月的随访,平均17.2个月。骨折均顺利愈合。无腓总神经损伤、无手术切口感染、无膝关节内外翻畸形、无内固定失效等并发症发生。末次随访采用Rasmussen膝关节功能评分系统对患膝关节功能进行评定,优:8例,良3例,优良率为100%。 |
| 英文摘要: |
| Objective To investigate the effect of a posterolateral approach for the treatment of isolated posterolateral split and depression fracture of the tibial plateau. Methods From April 2014 to April 2016,1 cases of isolated posterolateral split and depression fractures were treated by the posterolateral approach and postern plate,including 4 males and 7 females,with the mean age of 48.5 years(range,27-70 years).Injury were caused by traffic in 5 patients,high fall in 3 and others reasons in 3.There are 2 patients combined with fibular head fractures and 1 patient with tibial collateral ligament injury. Results All patients showed bone union with the mean follow-up of 17.2 months(range,12-31 months).There were no injury of the common peroneal nerve,no infection of wound,no varus or valgus of the knees,no fixation failure.At the last follow-up,according to the Rasmussen knee function score criteria,the results were excellent in 8 patients,good in 3,with excellent rate of 100%. Conlusion The posterolateral approach has advantages of clear exposure,convenient placement of internal fixation,less invasion and good clinical outcomes.It can be applied for the treatment of isolated posterolateral split and depression fractures. |
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