临床骨科杂志2016，Vol.19Issue(4)：478-480,3.DOI:10.3969/j.issn.1008-0287.2016.04.038
Schatzker Ⅳ~Ⅵ型胫骨平台骨折的手术疗效
Surgical effect for Schatzker typeⅣ~Ⅵtibial plateau fractures
杨卫斌 1雷方亮1
作者信息
- 1. 嘉峪关市中医医院骨科，甘肃 嘉峪关 735100
- 折叠
摘要
Abstract
Objetive To investigate the surgical curative effect for Schatzker type Ⅳ ~Ⅵ tibial plateau fractures. Methods Twenty-nine cases of Schatzker type Ⅳ~Ⅵ tibial plateau fractures were treated with L-Tcp compression plate and lag screw internal fixation. Results The patients were followed up for 14 ~27 months, fractures were healed in 18~29 weeks. Complications: 1 case of popliteal vein thrombosis was cured after anti thrombotic treat-ment;1 case didn′t achieve anatomical reduction;infection occurred in 2 patients,with wound dress changing and an-tibiotic treatment, both were discharged. At the end of follow-up,range of the knee joints was -5°~5°, range of the knee flexion was 90°~125°, knee range of motion was 85°~130°. Rasmussen grading method was applied to evalu-ate their knee joint functions;13 cases were excellent, 11 were good, 3 fair and 2 poor. Conclusions Operative treatment for Schatzker type Ⅳ~Ⅵ complex fractures of tibial plateau should deal with knee injury,pay attention to joint reduction quality,rigid internal fixation and postoperative function exercise.关键词
胫骨平台骨折/L-Tcp 加压钢板/拉力螺钉/内固定术Key words
tibial plateau fractures/L-Tcp compression plate/lag screw/internal fixation分类
医药卫生引用本文复制引用
杨卫斌,雷方亮..Schatzker Ⅳ~Ⅵ型胫骨平台骨折的手术疗效[J].临床骨科杂志,2016,19(4):478-480,3.
