吴运成(通讯作者) 1何林果 1梁开涛 1蒋广瑞 1陈亮1
作者信息
- 1. 广东省中山市东升医院骨科，广东 中山 528400
- 折叠
摘要
Abstract
Objective:To explore the tibial plateau fractures methods and factors affecting the efficacy of postoperative .Methods:Screening in our hospital from September 2010 to October 2012 admitted to hospital during the ages of 18 to 60 years old patients with tibi-al plateau fractures , according to Schatzker classification criteria for belonging Ⅳ,ⅤandⅥwere selected as the study , of which 13 cases of typeⅣ, 10 cases of type Ⅴand 7 cases of type Ⅵ.The patients underwent standard X -ray radiographs and CT scans and 3D recon-struction, to understand the degree of comminuted fracture fragments and articular surface collapse case , the relevant section of suspected structural damage and the lateral collateral ligament injury cases plus an MRI scan .Each group of patients were completely exposed off -side and the collapse of the articular surface of the bone , and make full reset , autologous or allogeneic bone iliac bone defect filling , plate and screw fixation , postoperative knee function using Rasmussen evaluation criteria , respectively , in begins when knee surgery ( two weeks), one month, three months, six months, one year time period five pairs of knee function evaluation .Results:The group of 30 cases of patients were followed up for 1 year after clinical healing fractures , according to Rasmussen knee function evaluation criteria were excell-lent in 8 cases, good in 16 cases, 5 cases and poor in 1 case, the total excellent rate of 83%.All patients had no neurovascular injury , deep infection , loosening or fracture fixation complications .Conclusion:For tibial plateau fractures , all clinical treatment options might be effective around knee function recovery , our study suggests that the choice of timing of surgery , intraoperative articular surface and for the full repair ligaments , joints overall structural mechanics grasp , in conjunction with effective postoperative functional exercise should be to get a good tibial plateau fracture critical clinical effect .关键词
胫骨平台/骨折Key words
Tibial plateau/Fractures分类
医药卫生
