| 胫骨近端MAY解剖钢板内固定治疗胫骨平台骨折 |
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Received:December 24, 2004
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| 作者 | Author | 单位 | Unit | E-Mail |
| 焦宁 |
JIAO Ning |
西安市红十字会医院骨科,陕西西安710054 |
Department of Orthopaedics,Xi’an Red Cross Hospital,Xi’an 710054,Shanxi,China |
jiaoning215@yahoo.com.cn |
| 姜海 |
JIANG Hai |
西安市红十字会医院骨科,陕西西安710054 |
Department of Orthopaedics,Xi’an Red Cross Hospital,Xi’an 710054,Shanxi,China |
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| 温世明 |
WEN Shi-ming |
西安市红十字会医院骨科,陕西西安710054 |
Department of Orthopaedics,Xi’an Red Cross Hospital,Xi’an 710054,Shanxi,China |
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| 薛金山 |
XUE Jin-shan |
西安市红十字会医院骨科,陕西西安710054 |
Department of Orthopaedics,Xi’an Red Cross Hospital,Xi’an 710054,Shanxi,China |
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| 期刊信息：《中国骨伤》2005年18卷，第11期，第650-651页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨胫骨近端MAY解剖钢板内固定治疗胫骨平台骨折的手术方法及疗效。
方法:1998年3月-2002年9月收治胫骨平台骨折患者56例,男43例,女13例;左侧38例,右侧18例。Schatzker分型:Ⅲ型18例,Ⅳ型15例,Ⅴ型16例,Ⅵ型7例。行切开复位胫骨近端MAY解剖钢板内固定,根据分型的不同决定手术方式。Ⅲ型骨折行切开复位植骨MAY解剖钢板内固定,Ⅳ、Ⅴ、Ⅵ型骨折行切开复位MAY解剖钢板加螺栓、螺钉内固定。
结果:56例患者均获随访,随访时间15~48个月,平均20个月。按Merchant评分标准,优38例,良10例,中5例,差3例。
结论:MAY解剖钢板是胫骨平台骨折可靠的内固定。合并韧带半月板损伤应及时处理,早期行CPM功能锻炼有助于膝关节功能的恢复。 |
| [关键词]:胫骨平台骨折 解剖钢板 骨折固定术,内 |
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| Treatment of tibial plateau fracture with MAY anatomic plate at the proximal end of tibia |
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Abstract:
Objective: To explore the operative method and clinical outcomes for treating the tibial plateau fracture with MAY anatomic plate at the proximal end of tibia.
Methods:From March 1998 to Sep 2002,56 patients(43 male,13 female;38 left,18 right)with the tibial plateau fracture were treated by open reduction and internal fixation.According to the Schatzker classification,there were 18 cases of type Ⅲ,15 cases of type Ⅳ,16 cases of type Ⅴ,7 cases of type Ⅵ.Based on the different type,different operative procedures were selected.Patients of type Ⅲ were treated by open reduction,bone graft and fixation of MAY anatomic plate.Patients of type Ⅳ,Ⅴ,Ⅵ were treated by open reduction,fixation of MAY anatomic plate and lag screw.
Results:All patients were followed up for an average time of 20 months(from 15 to 48 months).According to the Merchant Score,the result were excellent in 38 cases,good in 10 cases,normal in 5 cases,poor in 3 cases.
Conclusion:MAY anatomic plate is a kind of reliable internal fixation in the tibial plateau fracture.The injuries of ligament and meniscus should be treated in time.It is helpful for the function recovery of the knee joint with CPM exercise early. |
| KEYWORDS:Tibial plateau fractures Anatomic plate Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 焦宁,姜海,温世明,薛金山.胫骨近端MAY解剖钢板内固定治疗胫骨平台骨折[J].中国骨伤,2005,18(11):650~651 |
| 英文格式: | JIAO Ning,JIANG Hai,WEN Shi-ming,XUE Jin-shan.Treatment of tibial plateau fracture with MAY anatomic plate at the proximal end of tibia[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(11):650~651 |
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