摘要
Abstract
Objective To explore the effect ofintraoperative and lateral approach in the treatment oftibial plateau fractures by deep fascia sub-window technique.Methods From Oct 2013 to Mar 2016,38 cases oftibial plateau fractures were treated.According to Schatzker classification:Ⅱ and Ⅲtype 12 cases,Ⅳ type 5 cases,Ⅴ type 15 cases,Ⅵ type 6 cases.According to the different types of platform fractures,the use of a single medial incision for deep fascia sub-window at the same time revealed the front and rear side of the platform,a single lateral incision under the deep fascia sub-window at the same time to reveal the platform lateral and outside the back,and combined treatment of plate and screw fixation.Results All the 38 patients were followed up examination for 3 to 20 months,with an average of 13 months.The fracture line was blurred at 3 months follow-up and no height was lost.According to the Rasmussen scoring system,the knee function was evaluated:excellent in 25 cases,well in 9 cases and fine in 4 cases.The excellent rate was 89.4％ Conclusion According to the type of platform fracture,the use of internal and external unilateral,bilateral approach or its expansion approach,the application of deep fascia under the sub-window technology has many advantages:such as clear surgery reveal,easy to reset fixed,small trauma,high safety,efficacy satisfaction,etc.关键词
胫骨平台骨折/深筋膜下分窗/手术入路/内固定Key words
Tibial plateau fractures/Deep fascia sub-window/Surgical approach/Internal fixation分类
医药卫生
