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三柱固定理论在胫骨平台骨折治疗中的价值

方永超 杨建东

临床骨科杂志2011,Vol.14Issue(5):510-512,3.
临床骨科杂志2011,Vol.14Issue(5):510-512,3.

三柱固定理论在胫骨平台骨折治疗中的价值

Clinical value of three-column classification for tibial plateau fractures

方永超 1杨建东1

作者信息

  • 1. 江苏省苏北人民医院骨科八病区,江苏,扬州,225001
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摘要

Abstract

Objective To evaluate the clinical value of a CT-based classification system, "Three-column classification".in treatment of tibial plateau fractures.Methods 32 cases of tibial plateau fractures were analyzed retrospectively.They were divided into matched group ( 21 cases )and nonmatched group ( 11 cases ) according to the internal fixation methods.Rasmussen score was applied to assess the ORIF efficience and modified HSS score to assess the postoperative knee function.The differences of the ORIF efficience and postoperative knee function between the two groups were compared respectively.Results The follow-up period of all 32 cases ranged from 6 to 46 months.Rasmussen scores hadn't significiant differences between the early postoperative and final follow-up period in matched group ( P > 0.05 ) while had significant differences in nomatched group( P < 0.05 ).There were significiant differences in Rasmussen Scores and final follow-up modified HSS scores between the two groups( P < 0.05 ).Conclusions Three-column classification can help to guide the surgical planning to gain more excellent reduction and more reliable maintenance.It is beneficial to knee function rehabitation.

关键词

胫骨骨折/骨折固定术,内/三柱分型

Key words

tibial fracture / fracture fixation , internal / three-column classification

分类

医药卫生

引用本文复制引用

方永超,杨建东..三柱固定理论在胫骨平台骨折治疗中的价值[J].临床骨科杂志,2011,14(5):510-512,3.

临床骨科杂志

OACSTPCD

1008-0287

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