| 经皮鱼嘴钳固定治疗胫骨平台骨折 |
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投稿时间：2006-06-16
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| 作者 | Author | 单位 | Address | E-Mail |
| 王战朝 |
WANG Zhan-chao |
洛阳正骨医院正骨研究院,河南洛阳471002 |
Luoyang Orthopaedics Hospital and Orthopaedics Institute,Luoyang 471002,Henan,China |
wzhch519@tom.com |
| 黄霄汉 |
HUANG Xiao-han |
洛阳正骨医院正骨研究院,河南洛阳471002 |
Luoyang Orthopaedics Hospital and Orthopaedics Institute,Luoyang 471002,Henan,China |
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| 杨明路 |
YANG Ming-lu |
洛阳正骨医院正骨研究院,河南洛阳471002 |
Luoyang Orthopaedics Hospital and Orthopaedics Institute,Luoyang 471002,Henan,China |
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| 期刊信息：《中国骨伤》2007年，第20卷，第1期，第26-28页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:分析微创技术治疗胫骨平台骨折的疗效。
方法:胫骨平台骨折83例,男59例,女24例;年龄18~58岁,平均37岁。交通事故伤36例,坠落伤21例,砸伤10例,摔伤16例。外翻应力伤31例,内翻应力伤9例,垂直压迫或合并旋转应力伤43例。按Schatzker分类:Ⅰ型15例,Ⅱ型26例,Ⅳ型17例,Ⅴ型25例。均行经皮撬拨复位、鱼嘴钳固定治疗。
结果:随访81例,时间2~7年,骨折均于3个月内愈合,膝关节完全伸直,屈膝平均127°（95°~145°）。参照Rasmussen胫骨髁部骨折膝关节功能进行评分:优49例,良27例,可4例,差1例。
结论:经皮鱼嘴钳固定手术创伤小,固定可靠,能早期进行功能锻炼,避免二次手术取内固定物,是治疗胫骨平台骨折的有效方法。 |
| 【关键词】胫骨平台骨折 骨折固定术 鱼嘴钳 |
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| Treatment of tibial plateau fracture with percutaneous fish-lip pincers fixation |
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ABSTRACT
Objective: To analyze the effect of minimal invasive surgery for the treatment of tibial plateau fracture.
Methods: Eighty-three patients(male 59 and female 24,age ringing from 18 to 58 years with the mean of 37) with tibial plateau fracture were treated with percutaneous fish-lip pincers fixation.Thirty-one cases were injuried by valgus stress and 9 cases were varas stress,43 cases injuried by vertical compression and shearing stress.According to standard of Schatzker,type Ⅰ in 15,type Ⅱ in 26,type Ⅳ in 17,and type Ⅴ in 25.The clinical data of the patient was analyzed.
Results: Eighty-one patients were followed up from 2 to 7 years.All the fractures healed in 3 months after operation and all the knee joints can extend completely,the average genuflex was 127°(from 95° to 145°).According to Rasmussen’s functional recovery standard of knee joint,49 patients obtained excellent result,27 good,4 fair and 1 poor.
Conclusion: Fish-lip pincer is a reliable fixer,it permits earlier exercise,lessens the operative injuries and avoids additional operation(taking out internal fixer).It is a handy and effective method for the treatment of tibial plateau fracture. |
| KEY WORDS Tibial plateau fracture Fracture fixation Fish-lip pincer |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王战朝,黄霄汉,杨明路.经皮鱼嘴钳固定治疗胫骨平台骨折[J].中国骨伤,2007,20(1):26~28 |
| 英文格式: | WANG Zhan-chao,HUANG Xiao-han,YANG Ming-lu.Treatment of tibial plateau fracture with percutaneous fish-lip pincers fixation[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(1):26~28 |
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