| 胫骨平台后髁骨折的治疗 |
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Received:January 18, 2006
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| 作者 | Author | 单位 | Unit | E-Mail |
| 周恩昌 |
ZHOU En-chang |
聊城市第二人民医院骨一科,山东临清252601 |
Department of Orthopaedics,the Second People′s Hospital of Liaocheng,Linqing 252601,Shandong,China |
enchangz@yahoo.com.cn |
| 唐萍 |
TANG Ping |
聊城市第二人民医院骨一科,山东临清252601 |
Department of Orthopaedics,the Second People′s Hospital of Liaocheng,Linqing 252601,Shandong,China |
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| 刘士明 |
LIU Shi-ming |
聊城市第二人民医院骨一科,山东临清252601 |
Department of Orthopaedics,the Second People′s Hospital of Liaocheng,Linqing 252601,Shandong,China |
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| 张劼 |
ZHANG Jie |
聊城市第二人民医院骨一科,山东临清252601 |
Department of Orthopaedics,the Second People′s Hospital of Liaocheng,Linqing 252601,Shandong,China |
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| 韩震 |
HAN Zhen |
聊城市第二人民医院骨一科,山东临清252601 |
Department of Orthopaedics,the Second People′s Hospital of Liaocheng,Linqing 252601,Shandong,China |
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| 期刊信息：《中国骨伤》2006年19卷，第10期，第614-615页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨胫骨平台后髁骨折的治疗方法。
方法:9例胫骨平台后髁骨折患者,男6例,女3例;年龄24~58岁,平均36岁。左侧2例,右侧7例。骨折类型:后外侧髁骨折5例,后内侧髁骨折1例,双髁骨折3例,采用后内和(或)后外侧入路复位内固定治疗。
结果:9例均获随访,随访时间6~32个月,平均18.4个月。患膝关节功能评定按Hohl评分标准:优7例,良2例。关节面未见明显塌陷情况。
结论:膝关节的后内和(或)外侧入路较前侧入路能更充分暴露后关节间隙及胫骨平台后髁,为骨折的直视复位和植骨内固定提供了良好的操作空间。 |
| [关键词]:胫骨平台骨折 骨折固定术,内 |
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| Treatment of posterior condylar tibial plateau fracture |
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Abstract:
Objective:To study the operative method of posterior medial and (or) lateral approach for the treatment of posterior condylar tibial plateau fracture.
Methods:Nine patients with posterior condylar tibial plateau fracture were treated with open reduction and internal fixation through posterior medial and (or) lateral approach.There were 6 males and 3 females with the average age of 36 ranging from 24 to 58 years old.There were 5 cases of lateral condyle fractures,1 cases of medial condyle fracture and 3 cases of bilateral.
Results:All patients were followed up for 6-32 months with average of 18.4 months.According to Hohl score of the knee joint function,7 cases were excellent result and 2 cases were good.No joint surface collapse was found.
Conclusion:The posterior medial and (or) lateral approach can fully expose the posterior joint space and can provide satisfactory operative space for open reduction,grafting and internal fixation. |
| KEYWORDS:Fracture of tibial plateau 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: | 周恩昌,唐萍,刘士明,张劼,韩震.胫骨平台后髁骨折的治疗[J].中国骨伤,2006,19(10):614~615 |
| 英文格式: | ZHOU En-chang,TANG Ping,LIU Shi-ming,ZHANG Jie,HAN Zhen.Treatment of posterior condylar tibial plateau fracture[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(10):614~615 |
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