胫骨内侧切口治疗SchatzerⅣ型平台骨折疗效分析
详细信息 查看官网全文
- 论文作者：任占国 ; 陈亮 ; 陈阳
- 年：2017
- 作者机构：首都医科大学附属北京友谊医院平谷区医院骨二科;
- 会议召开时间：2017-05-26
- 会议录名称：2017年《中国组织化学与细胞化学杂志》临床研讨会论文集
- 语种：中文
- 分类号：R687.3
- 学会代码：ZHXB
- 会议名称：2017年《中国组织化学与细胞化学杂志》临床研讨会
- 会议地点：中国湖北武汉
- 主办单位：《中国组织化学与细胞化学杂志》社有限公司
- 学会名称：《中国组织化学与细胞化学杂志》社有限公司
- 页数：1
- 文件大小：255k
- 原文格式：O
- 会议级别：全国
摘要
目的:探讨采用胫骨近端内侧切口治疗SchatzerⅣ型平台骨折的临床疗效。方法:我院自2010年1月-2014年12月间,对25例SchatzerⅣ型平台骨折患者,采用胫骨近端内侧切口显露并支撑钢板固定内侧、后侧平台骨折。结果:术后25例患者均获得随访。随访时间12-24个月。骨折愈合时间3-5个月,平均3.7个月。膝关节HSS评分优14例,良8例,可2例,差1例。优良率88.0%。结论:大部分SchatzerⅣ型平台骨折可以通过胫骨近端单一切口,显露并固定内侧、后侧平台骨折。
Objective:To explore the clinical effect of medial incision of tibia in the treatment of Schatzer Ⅳ Tibial plateau fracture.Methods:From January 2010 to December 2014,25 patients with Schatzer Ⅳ type Tibial plateau fractures were treated with internal medial incision of the tibia to support and fix the medial and posterior plateau fractures.Results:Twenty-five patients were followed up.The follow-up time was 12-24 months.Fracture healing time of 3-5months,an average of 3.7 months.The knee HSS score was excellent in 14 cases,good in 8 cases,fair in 2 cases and poor in 1 case.The excellent and good rate was 88.0%.Conclusion:Most Schatzer Ⅳ Tibial plateau fractures can reveal and fix the medial and posterior plateau fractures through the proximal tibial incision.
Objective:To explore the clinical effect of medial incision of tibia in the treatment of Schatzer Ⅳ Tibial plateau fracture.Methods:From January 2010 to December 2014,25 patients with Schatzer Ⅳ type Tibial plateau fractures were treated with internal medial incision of the tibia to support and fix the medial and posterior plateau fractures.Results:Twenty-five patients were followed up.The follow-up time was 12-24 months.Fracture healing time of 3-5months,an average of 3.7 months.The knee HSS score was excellent in 14 cases,good in 8 cases,fair in 2 cases and poor in 1 case.The excellent and good rate was 88.0%.Conclusion:Most Schatzer Ⅳ Tibial plateau fractures can reveal and fix the medial and posterior plateau fractures through the proximal tibial incision.
引文
[1]荣国威,王承武.骨折.人民卫生出版社。(1019)
[2]Barei D P,Nork S E,Mills W J,et al.Functional outcomes of severe bicondylar tibial plateau fractures treated with dual incisions and medial and lateral plates[J].Bone Joint Surg Am,2006,88(8):1713-1721.
[3]Subasi M,Kapukaya A,Arslan H,et al.Outcome of open comminuted tibial plateau fractures treated using an external fixator[J].Orthop Sci,2007,12(4):347-353.
[4]罗从风,胡成方,高洪等.基于CT的胫骨平台骨折的三柱分型。《中华创伤杂志》2009.11(3):201-205。
[5]Chen HW,Pan J,Yi XH,Huang YX.A posteromedial approach for open reduction and internal fixation of posteromedial tibial plateau fracture.Acta Orthop Belg.2016 Aug;82(2):258-264.
[6]Pires RE,Giordano V,Complications and outcomes of the transfibular approach for posterolateral fractures of the tibial plateau.Injury.2016Oct;47(10):2320-2325.doi:10.1016/j.injury.2016.07.010.
[7]冯刚潘志军李杭等双锁定钢板交叉支撑固定治疗累及后外侧的C3型胫骨平台骨折《中华骨科杂志》2014.7(34):695-702。
[2]Barei D P,Nork S E,Mills W J,et al.Functional outcomes of severe bicondylar tibial plateau fractures treated with dual incisions and medial and lateral plates[J].Bone Joint Surg Am,2006,88(8):1713-1721.
[3]Subasi M,Kapukaya A,Arslan H,et al.Outcome of open comminuted tibial plateau fractures treated using an external fixator[J].Orthop Sci,2007,12(4):347-353.
[4]罗从风,胡成方,高洪等.基于CT的胫骨平台骨折的三柱分型。《中华创伤杂志》2009.11(3):201-205。
[5]Chen HW,Pan J,Yi XH,Huang YX.A posteromedial approach for open reduction and internal fixation of posteromedial tibial plateau fracture.Acta Orthop Belg.2016 Aug;82(2):258-264.
[6]Pires RE,Giordano V,Complications and outcomes of the transfibular approach for posterolateral fractures of the tibial plateau.Injury.2016Oct;47(10):2320-2325.doi:10.1016/j.injury.2016.07.010.
[7]冯刚潘志军李杭等双锁定钢板交叉支撑固定治疗累及后外侧的C3型胫骨平台骨折《中华骨科杂志》2014.7(34):695-702。