| 自制T形三维支架抗分离加压螺钉撬拨治疗胫骨平台骨折 |
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Received:May 20, 2003
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| 作者 | Author | 单位 | Unit | E-Mail |
| 谭磊 |
TAN Lei |
潍坊市中医院骨科 山东潍坊261041 |
Weifang TCM Hospital,Shandong Weifang,261041,China |
yonghongfan@ hotmail. |
| 王景彦 |
WANG Jing-yan |
潍坊市中医院骨科 山东潍坊261041 |
Weifang TCM Hospital,Shandong Weifang,261041,China |
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| 张力 |
ZHANG Li |
潍坊市中医院骨科 山东潍坊261041 |
Weifang TCM Hospital,Shandong Weifang,261041,China |
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| 张振鹏 |
ZHANG Zhen-peng |
潍坊市中医院骨科 山东潍坊261041 |
Weifang TCM Hospital,Shandong Weifang,261041,China |
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| 董永东 |
DONG Yong-dong |
潍坊市中医院骨科 山东潍坊261041 |
Weifang TCM Hospital,Shandong Weifang,261041,China |
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| 吴胜 |
WU Sheng |
潍坊市中医院骨科 山东潍坊261041 |
Weifang TCM Hospital,Shandong Weifang,261041,China |
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| 赵兴伟 |
ZHAO Xing-wei. |
山东中医药大学 |
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| 期刊信息：《中国骨伤》2005年18卷，第2期，第91-92页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:观察T形三维支架抗分离加压螺钉经皮撬拨治疗胫骨平台骨折的疗效。
方法:首先手法矫正移位,残余移位则从胫骨一侧平台下做小切口,用撬拨器撬拨推挤骨块,塌陷≥5mm时用环钻植骨器取髂骨柱填塞。复位满意,在距关节面1～15cm处平行拧入1枚加压螺钉,再拧入螺母压紧,若骨块粉碎状,则加上带齿弧垫环抱。同法处理对侧骨块,将2枚螺钉锁定到半环架上,再在胫骨中、上段前内侧拧入2枚普通外固定螺钉并锁定在单臂架上,组合半环单臂支架。
结果:22例按Schatzker分类:Ⅱ型5例,Ⅲ型6例,Ⅳ型3例,Ⅴ型4例,Ⅵ型4例。平均随访27年。均在3个月内愈合,膝关节活动度平均120°以上,无螺钉断裂、折弯、滑脱,无膝内外翻、感染。16例达到解剖复位,6例接近解剖复位,按Hohl评分标准,优15例,良6例,可1例。
结论:该法适应范围广,操作简便、固定可靠、创伤小、可早期功能锻炼,疗效好,便于临床推广。 |
| [关键词]:胫骨平台骨折 外固定器 外科器械 |
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| Treatment for fracture of tibial plateau by T three dimensional cage and anti-splitting compression screw |
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Abstract:
Objective: To observe the effect of treatment for fracture of tibial plateau by T three dimensional cage and anti splitting compression screw.
Methods: Replaced the displacement with maneuver.Remained displacement was made a micro incision through the one lateral of the tibial plateau.Pushing the bone block by the pry.When the subside was ≥5 mm,ilium column of trephine grafting was filled up.If the reduction was satisfactory,then parallelly screwing a compression screw 1～1.5 cm to the articular surface and screwing a nut to press tightly.If the bone was broken into pieces,adding teeth arch pad to surround.The same method could be used to deal with the other,locking two screws on the half annular cage,and then screwing two ordinary screw on the upper and middle part of the tibia and locking on the one arm cage to form a half annular kickstand.
Results: Twenty two patients were classified according to Schatzker:type Ⅱ 5,type Ⅲ 6,type Ⅳ 3,type Ⅴ 4,type Ⅵ 4.Following up for 2 7 years on average revealed that fractures were all healed in three months.The motion of knee joint were all higher than 120 degree.No screw broken,crooked and dislocated.Praising the curative effect as the Hohl standard:15 excellent,6 good and 1 fair.
Conclusion: This method is easy to be operated and the fixation is safe with micro incision.This method can be acted early and the curative effect is perfect and worth developing. |
| KEYWORDS:Fracture of tibial plateauExternal fixatorSurgical instruments |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 谭磊,王景彦,张力,张振鹏,董永东,吴胜,赵兴伟.自制T形三维支架抗分离加压螺钉撬拨治疗胫骨平台骨折[J].中国骨伤,2005,18(2):91~92 |
| 英文格式: | TAN Lei ,WANG Jing-yan,ZHANG Li,ZHANG Zhen-peng,DONG Yong-dong,WU Sheng,ZHAO Xing-wei. .Treatment for fracture of tibial plateau by T three dimensional cage and anti-splitting compression screw[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(2):91~92 |
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