重庆医学Issue(14)：1921-1923,1927,4.DOI:10.3969/j.issn.1671-8348.2015.14.019
腓骨近段骨折在后外侧柱复杂胫骨平台骨折中的参考意义
Reference significance of proximal fibula fractures for selecting surgical procedures for complex tibial plateau fractures involving posterior lateral spine
霍永峰 1殷照阳 1厉雷明 1于吉文 1顾光学 1孙晓1
作者信息
- 1. 江苏省连云港市第一人民医院创伤骨科 222002
- 折叠
摘要
Abstract
Objective To compare the effects of two surgical procedures via comparison on tibial fractures with/without proximal fibula fractures ,and to explore the reference importance of proximal fibula fractures in surgery for complex tibial plateau fracturesinvolvingposterior and lateral spine .Methods Totally 69 cases of patients with complex tibial plateau fracturesinvolving‐posterior and lateral spine (Schatzker Ⅴ and Ⅵ) were selected ,who accepted treatment between January 2008 and October 2012 . The patients were screed according to the quality of fracture reduction immediately after operation .39 cases were screened whose scores were excellent and the general condition was similar .The patients were divided into group A1 ,A2 and B1 and B2 according to the whether there was proximal fibula fractures and whether accepted posterior lateral support steel plate:group A1 (n=10):without proximal fibula fractures but with posterior lateral support steel plate;group A2 (n=11):without proximal fibula fractures and without posterior lateral support steel plate;group B1 (n=9):with proximal fibula fractures and with posterior lateral support steel plate;group B2 (n=9):with proximal fibula fractures but without posterior lateral support steel plate .According to the knee scoring system of American Hospital for Special Surgery (HSS) ,a total of 39 cases of patients were followed up for 12-14 months (average 12 .8 months) to evaluate the recovery condition of knee function .And correlations between the scores of the 4 groups were compared .Results There were statistically significant differences between group B1 and group B2 on HSS scores (P<0 .01) ,but there were not between group A1 and A2 (P>0 .05) .Conclusion For patients with complex tibial plateau fracturesin‐volvingposterior and lateral spine and with proximal fibula fractures ,posterior lateral support steel plate can achieve more satisfac‐tory rehabilitation function .关键词
胫骨骨折/骨折固定 ,内/腓骨骨折/后侧入路/钢板Key words
tibial fractures/fracture fixation ,internal/fibula fracture/posterior lateral approach/steel plate分类
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霍永峰,殷照阳,厉雷明,于吉文,顾光学,孙晓..腓骨近段骨折在后外侧柱复杂胫骨平台骨折中的参考意义[J].重庆医学,2015,(14):1921-1923,1927,4.
