现代医药卫生2016，Vol.32Issue(11)：1632-1634,3.DOI:10.3969/j.issn.1009-5519.2016.11.011
腓骨近端截骨治疗胫骨后外侧平台骨折的效果
Effect of proximal fibular osteotomy for treatment of posteriolateral tibial plateau fractures
何舰 1苟远涛 1唐俊 1牟帅 1赵亮1
作者信息
- 1. 重庆医科大学附属四川省八一康复中心骨关节科，成都611135
- 折叠
摘要
Abstract
Objective To investigate the effect of proximal fibula osteotomy for the treatment of posteriolateral tibial plateau fractures. Methods Sixty cases of posteriolateral tibial plateau fractures in our center from September 2010 to September 2012 were selected as the study subjects. The surgical mode adopted the proximal fibular osteotomy from posteriolateral approach of knee joint. In the approach,the proximal fibula and common peroneal nerve were exposed from the knee joint posteriolateral side;the proximal fibula was turned up after osteotomy ,and posteriolateral tibial plateau was revealed from the popliteal muscle and soleus muscle gap. The fracture was reset under direct vision and fixed with oblique T-shaped locking plate or limited contact compression plate in the posterior lateral side. Results All 60 cases were followed up for more than 12 months. Compared with postoperative 1 month,the maximal flexion degrees of knee joint at postoperative 3,6,12 months had statistically significant dif-ference(t=5.792,8.288,8.776,P<0.01);but the maximal flexion degrees of knee joint had no statistical difference between post-operative 6 months and postoperative 12 months(t=1.562,P>0.05). The knee HSS scores at 3,6,12 months had statistical differ-ences compared with those at postoperative 1 month (t=8.139,9.900,8.901,P<0.01). The knee HSS scores had no statistically sig-nificant differences between postoperative 3 and 6 months with postoperative 6 and 12 months (t=1.991,2.202,P>0.05). No cases of postoperative necrosis of operation area skin ,infection or loosening of internal fixation occurred. Conclusion Proximal fibular osteotomy by posteriolateral approach for the treatment of posteriolateral tibial plateau fractures can conduct the reduction of articu lar surface and fixation under direct vision,prevents the fracture re-displacement and is conducive to the recovery of knee joint function.关键词
胫骨骨折/腓骨/截骨术/膝关节/治疗结果Key words
Tibial fractures/Fibula/Osteotomy/Knee joint/Treatment outcome引用本文复制引用
何舰,苟远涛,唐俊,牟帅,赵亮..腓骨近端截骨治疗胫骨后外侧平台骨折的效果[J].现代医药卫生,2016,32(11):1632-1634,3.
