| 联合入路双钢板内固定治疗骨折脱位型胫骨内侧平台骨折 |
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投稿时间：2014-05-13
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| 作者 | Author | 单位 | Address | E-Mail |
| 方智敏 |
FANG Zhi-min |
衢州市人民医院骨科, 浙江衢州 324000 |
Department of Orthopaedics, Quzhou People's Hospital, Quzhou 324000, Zhejiang, China |
fjdnlm@163.com |
| 程华煜 |
CHENG Hua-yu |
衢州市人民医院骨科, 浙江衢州 324000 |
Department of Orthopaedics, Quzhou People's Hospital, Quzhou 324000, Zhejiang, China |
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| 俞大刚 |
YU Da-gang |
衢州市人民医院骨科, 浙江衢州 324000 |
Department of Orthopaedics, Quzhou People's Hospital, Quzhou 324000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第3期，第276-278页 |
| DOI：10.3969/j.issn.1003-0034.2015.03.019 |
| 基金项目: |
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中文摘要:
目的:探讨膝前正中入路联合后内侧倒“L”形入路双接骨板内固定治疗骨折脱位型胫骨内侧平台骨折的临床疗效。
方法:自2010年2月至2013年9月收治17例骨折脱位型胫骨内侧平台骨折患者,男11例,女6例;年龄21～65岁,平均42岁。采用前正中入路复位固定内侧平台骨折块,后内侧倒“L”形入路复位及支撑固定后内侧骨块,术后进行临床和影像学随访,采用HSS评分进行评价。
结果:所有患者获随访,时间11～25个月,平均18个月。术后即刻和随访终末胫骨平台内翻角(TPA)分别为(87.8±4.2)°和(88.2±4.6)°,差异无统计学意义(P=0.458);术后即刻和随访终末胫骨内侧平台后倾角(PSA)分别为(10.1±3.7)°和(10.3±4.1)°,差异无统计学意义(P=0.512).膝关节HSS评分86.7±6.1,所有患者无感染、皮肤坏死、内固定松动断裂及骨折复位丢失等并发症。
结论:联合入路双钢板固定治疗骨折脱位型胫骨内侧平台骨折,具有显露清楚、复位满意、固定可靠、便于早期功能锻炼等优点,临床效果满意。 |
| 【关键词】胫骨骨折 骨折固定术,内 膝关节 |
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| Double-plating internal fixation through combined approaches for the treatment of medial tibial plateau fractures with fracture-dislocation type |
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ABSTRACT
Objective:To investigate the clinical effects of double-plating internal fixation for the treatment of medial tibial plateau fractures with fracture-dislocation type through combined anterior and inverted“L” posteromedial knee approaches.
Methods:From February 2010 to September 2013,17 patients with medial tibial plateau fractures with fracture-dislocation type were treated by double-plating internal fixation at our department. Anterior knee approach was adopted for medial mass reduction and fixation,while the inverted “L” posteromedial approach was used for posteromedial mass. There were 11 males and 6 females,with an average age of 42 years old(ranged,21 to 65 years old). The efficacy were investigated by comparing pre-and post-operative radiographic data,and by evaluating clinical symptoms using the HSS score system.
Results:All the patients were followed with a mean time of 18 months(ranged,11 to 25 months). The tibial-plateau varus angle immediately after operation and at the latest follow-up were respectively (87.8±4.2)°and (88.2±4.6)°,and there was no statistical difference(P=0.458). The posterior slope angle immediately after operation and at the latest follow-up were respectively (10.1±3.7)°and (10.3±4.1)°,and there was no statistical difference(P=0.512). The knee joint HSS score was 86.7±6.1. No patient had complications such as infection,skin necrosis,internal fixation loosening or loss of fracture reduction.
Conclusion:Doubl-plating internal fixation through combined approaches is an ideal operation method for medial tibial plateau fractures with fracture-dislocation type,because it can provide clear surgical field,satisfactory reduction,reliable fixation,and chance for early functional exercise. |
| KEY WORDS Tibial fractures Fracture fixation,internal Knee joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 方智敏,程华煜,俞大刚.联合入路双钢板内固定治疗骨折脱位型胫骨内侧平台骨折[J].中国骨伤,2015,28(3):276~278 |
| 英文格式: | FANG Zhi-min,CHENG Hua-yu,YU Da-gang.Double-plating internal fixation through combined approaches for the treatment of medial tibial plateau fractures with fracture-dislocation type[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(3):276~278 |
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