| 小型内固定系统在胫骨平台骨折治疗中的应用 |
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投稿时间：2004-06-15
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| 期刊信息：《中国骨伤》2005年，第18卷，第6期，第332-334页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨小型内固定系统在胫骨平台骨折治疗中的应用及临床效果评价。
方法:胫骨平台骨折36例,男25例,女11例;年龄18～65岁,平均41.5岁。行小型内固定系统治疗,按Schatzker骨折分类,根据不同的类型分别采用排状螺钉、关节周围钢板、抗滑钢板以及外侧支撑钢板联合前内侧抗滑固定。
结果:36例全部获得6～26个月随访(平均14个月)。按Lysholm膝关节功能评分,优良32例(88.9%),可3例,差1例。
结论:切开复位小型内固定治疗胫骨平台骨折,固定牢靠,有利于早期功能锻炼,促进关节功能恢复,且可减少软组织的并发症。 |
| 【关键词】胫骨骨折 骨折固定术 内 骨科手术方法 |
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| Application of small fragment internal fixation in the treatment of tibial plateau fractures |
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ABSTRACT
Objective:To evaluate the clinical outcome of application of small fragment internal fixation in the treatment of tibial plateau fractures.
Methods:Thirty-six patients(male 25 cases,female 11 cases;ages ranged from 18 to 65 years,with an average of 41.5)with tibial plateau fracture were operated with small fragment internal fixation.According to Schatzkers classification of fracture,all patients were treated with different fixation methods such as raft screws,periarticular plate and antiglide plate,etc.
Results:All 36 patients were followed-up regularly for an average of 14 months(ranged from 6 to 26 months).According to Lysholms evaluation of knee joint function,thirty-two of the patients had satisfactory functional outcome,fair 3,poor 1.
Conclusion:Open reduction and small fragment internal fixation is an ideal management of tibial plateau fracture.It can effectively maintain reduction and reduce the complications of the soft tissues. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李素明,杭柏亚.小型内固定系统在胫骨平台骨折治疗中的应用[J].中国骨伤,2005,18(6):332~334 |
| 英文格式: | LI Su-ming,HANG Bai-ya.Application of small fragment internal fixation in the treatment of tibial plateau fractures[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(6):332~334 |
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