| 胫骨平台骨折与创伤性关节炎的防治 |
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Received:March 06, 1997 Revised:September 14, 1997
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| 作者 | Author | 单位 | Unit | E-Mail |
| 刘兴炎 |
Liu Xingyan |
兰州军区总医院全军骨科中心,兰州730050 |
General Hospital of Lanzhou Military Area,Orthopaedics Center of the Whole Army Lanzhou 730050 |
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| 葛宝丰 |
Ge Baofeng |
兰州军区总医院全军骨科中心,兰州730050 |
General Hospital of Lanzhou Military Area,Orthopaedics Center of the Whole Army Lanzhou 730050 |
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| 文益民 |
Wen Yimin |
兰州军区总医院全军骨科中心,兰州730050 |
General Hospital of Lanzhou Military Area,Orthopaedics Center of the Whole Army Lanzhou 730050 |
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| 甄平 |
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兰州军区总医院全军骨科中心,兰州730050 |
General Hospital of Lanzhou Military Area,Orthopaedics Center of the Whole Army Lanzhou 730050 |
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| 傅晨 |
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兰州军区总医院全军骨科中心,兰州730050 |
General Hospital of Lanzhou Military Area,Orthopaedics Center of the Whole Army Lanzhou 730050 |
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| 刘占宏 |
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兰州军区总医院全军骨科中心,兰州730050 |
General Hospital of Lanzhou Military Area,Orthopaedics Center of the Whole Army Lanzhou 730050 |
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| 杨超 |
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兰州军区总医院全军骨科中心,兰州730050 |
General Hospital of Lanzhou Military Area,Orthopaedics Center of the Whole Army Lanzhou 730050 |
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| 高秋明 |
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兰州军区总医院全军骨科中心,兰州730050 |
General Hospital of Lanzhou Military Area,Orthopaedics Center of the Whole Army Lanzhou 730050 |
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| 期刊信息：《中国骨伤》1999年12卷，第1期，第6-8页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨胫骨平台骨折受损关节面软骨的早期修复和严重晚期创伤性关节炎关节面的重建。
方法：对42例胫骨平台骨折除重视骨折复位外，对部分剥脱、掀起的关节软骨予以复位并采用丝线或细钢丝抽出缝合修复，对缺如软骨裸露关节面，根据其大小、深浅分别用骨形成蛋白-纤维蛋白粘合剂（BMP-FS）复合片或附以带蒂骨膜瓣翻转修复。
结果：本组有9例发生创伤性关节炎包括3例严重的晚期创伤性关节炎。对此3例严重晚期创伤性关节炎采用BMP-FS覆盖，术后随访6～24个月，关节面及关节间隙恢复正常，疼痛消除，膝关节屈伸增加30°。
结论：BMP-FS可用于修复早期关节面软骨缺损和晚期严重创伤性关节炎关节面的重建。 |
| [关键词]:胫骨平台骨折 关节软骨损伤 软骨修复 |
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| Treatment of Tibial Plateau Fracture and Traumatic Arthritis |
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Abstract:
Objective:To study the early repair of the damaged articular cartilage in tibial plateau fractures and the re establishment of the articular surface in serious late traumatic arthritis.
Methods:Fractures of tibial plateau in 42 cases were treated with open reduction.In addition,the stripped and lifted parts of articular cartilage were reposited and fixed with silk thread or thin wire,and the cartilage uncovered articular surface due to defect of cartilage was covered with the bone morphogenetic protein fibrin sealant (BMP FS) or repaired with the pediculated periosteum flap,respectively.
Results: Traumatic arthritis occurred in 9 cases,including 3 cases with serious late traumatic arthritis.The articular surface in these 3 cases was trimmed once again and covered with BMP FS.By following up of 6 24 months,their articular surface and joint space were recovered to normal,pain was relieved,and the flexion and extension of the knee joint were increased by 30 degree.
Conclusion: BMP FS can be used in the repair of early defect of articular cartilage and in the re establishment of the articular surface in late serious traumatic arthritis. |
| KEYWORDS:Tibial plateau fracture Damage of articular cartilage Repair |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘兴炎,葛宝丰,文益民,甄平,傅晨,刘占宏,杨超,高秋明.胫骨平台骨折与创伤性关节炎的防治[J].中国骨伤,1999,12(1):6~8 |
| 英文格式: | Liu Xingyan,Ge Baofeng,Wen Yimin.Treatment of Tibial Plateau Fracture and Traumatic Arthritis[J].zhongguo gu shang / China J Orthop Trauma ,1999,12(1):6~8 |
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