| 胫骨平台内侧髁后缘骨折合并后交叉韧带止点撕脱性骨折的手术疗效观察 |
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Received:September 04, 2013
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| 期刊信息：《中国骨伤》2014年27卷，第5期，第422-424页 |
| DOI：10.3969/j.issn.1003-0034.2014.05.017 |
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目的：探讨单块桡骨远端钢板固定治疗胫骨平台内侧髁后缘骨折合并后交叉韧带（PCL）止点撕脱性骨折的临床疗效。
方法：2008年9月至2011年11月，采用手术治疗因膝关节过伸致胫骨平台内侧髁后缘骨折合并PCL止点撕脱性骨折的患者5例，其中男3例，女2例；年龄25～42岁，平均35岁；左膝3例，右膝2例；运动伤2例，车祸3例；均为急诊收治。 手术采用腘窝入路，对骨折端行解剖复位，单块桡骨远端钢板内固定。术后观察并发症，通过X线片观察术后愈合情况，并采用HSS评分系统对术后疗效进行评估。
结果：5例患者均获随访，时间1～4年，平均2年。切口均为Ⅰ期愈合。膝关节屈曲均达120°以上，稳定性良好，无膝关节疼痛、神经血管损伤、感染和内固定失败等并发症发生。术后HSS评分为94.40±6.09，结果均为优。
结论：单块桡骨远端钢板对胫骨平台内侧髁后缘骨折固定稳定性好、成功率高，且膝关节功能恢复良好。 |
| [关键词]:胫骨骨折 后交叉韧带 胫骨平台 骨折固定术，内 |
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| Observation of clinical effects of surgery for trailing edge fracture of tibial plateau medial condyle and posterior cruciate ligament avulsion fracture |
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Abstract:
Objective: To investigate the clinical effects of enblock distal radius T-plate fixation in treating trailing edge fracture of tibial plateau medial condyle and posterior cruciate ligament (PCL) avulsion fracture.
Methods: From September 2008 to November 2011,5 patients with trailing edge fracture of tibial plateau medial condyle and PCL avulsion fracture caused by knee joint hyperextension,were treated with surgery. There were 3 males and 2 females with an average age of 35 years old (25 to 42). Left knee injury was in 3 cases and right knee had in 2 cases; 2 cases caused by sports injury and 3 cases caused by road accident. All patients were undergone emergency treatment. Fractures were anatomically reduced and fixed with T-plate through poples approach. Complications were observed after operation. Bone healing and clinical effects were respectively evaluated by X-rays and HSS system.
Results: Five patients were followed up for 1 to 4 years with a mean of 2 years. All incisions obtained healing of I stage. All knee joints recovered well and were stable with inflexion more than 120 °,no complications such as knee joint pain,injuries of nerve and blood vessel,infection,internal fixation failure were found. The mean score of HSS system was 94.40±6.09 and all patients got excellent result.
Conclusion: For the treatment of trailing edge fracture of tibial plateau medial condyle and PCL avulsion fracture caused by knee joint hyperextension,enblock distal radius T-plate fixation had advantages of good stability,higher success rate,and knee joint function can recover well. |
| KEYWORDS:Tibial fractures Posterior cruciate ligament 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: | 李伟,季卫锋,马镇川.胫骨平台内侧髁后缘骨折合并后交叉韧带止点撕脱性骨折的手术疗效观察[J].中国骨伤,2014,27(5):422~424 |
| 英文格式: | LI Wei,JI Wei-feng,MA Zhen-chuan.Observation of clinical effects of surgery for trailing edge fracture of tibial plateau medial condyle and posterior cruciate ligament avulsion fracture[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(5):422~424 |
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