| 胫骨平台后内髁劈裂骨折的手术治疗 |
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投稿时间：2011-10-13
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| 作者 | Author | 单位 | Address | E-Mail |
| 陈红卫 |
CHEN Hong-wei |
义乌市中心医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, Yiwu Central Hospital, Yiwu 322000, Zhejiang, China |
chw6988@yahoo.com.cn |
| 赵钢生 |
ZHAO Gang-sheng |
义乌市中心医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, Yiwu Central Hospital, Yiwu 322000, Zhejiang, China |
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| 王子阳 |
WANG Zi-yang |
义乌市中心医院骨科, 浙江 义乌 322000 |
Department of Orthopaedics, Yiwu Central Hospital, Yiwu 322000, Zhejiang, China |
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| 潘骏 |
PAN Jun |
温州医学院第二附属医院骨科 |
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| 期刊信息：《中国骨伤》2012年，第25卷，第3期，第190-193页 |
| DOI：10.3969/j.issn.1003-0034.2012.03.003 |
| 基金项目: |
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中文摘要:
目的:探讨膝关节后内侧入路手术复位内固定治疗胫骨平台后内髁劈裂骨折的临床疗效。
方法:2006年1月至2009年7月,采用后侧入路手术治疗胫骨平台后内髁劈裂骨折获得随访的患者21例,男14例,女7例;年龄28～68岁,平均36.9岁。致伤原因:车祸伤14例,高处坠落伤7例。合并伤:合并前交叉韧带损伤15例,均为胫骨平台止点撕脱;合并胫骨平台后外侧塌陷骨折14例。采用膝关节后内侧入路手术复位内固定治疗,术后据Rasmussen膝关节功能评定方法评定疗效。
结果:21例均获随访,时间12～30个月,平均17.3个月。无切口感染,无内固定松动及断裂,无骨不愈合,无膝关节内、外翻畸形和骨折再移位。术后后内髁骨折均达解剖复位,1例术后小腿内下方感觉麻木。术后根据Rasmussen膝关节功能评定标准:优12例,良7例,可2例。
结论:膝关节后内侧手术治疗胫骨平台后内髁劈裂骨折,有利于平台后内髁骨折的复位和固定,具有暴露清楚、内固定安放方便、创伤小及临床疗效好等优点。 |
| 【关键词】胫骨骨折 骨折固定术,内 骨折,闭合性 膝关节 |
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| Operative treatment for posteromedial condylar split fracture of tibial plateau |
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ABSTRACT
Objective:To investigate the clinical effects of surgery reduction and internal fixation through posteromedial knee approaches in the treatment of posteromedial condylar split fracture of tibial plateau.
Methods:From January 2006 to July 2009,21 patients with posteromedial condylar split fracture of tibial plateau were treated by posteromedial knee approaches. Among the patients,14 cases were males and 7 cases were females,ranging from 28 to 68 years old with an average of 36.9 years old. For traumatic causes,14 cases were injured by traffic accident and 7 cases by fall. Compound injury,15 cases combined with anterior cruciate ligament injury and tibia insertion avulsion fracture;14 cases combined with posterolateral depressed tibial plateau fracture. Rasmussen assessment criteria was used to evaluate the therapeutic effects.
Results:All patients were followed up,from 12 to 30 months with an average of 17.3 months. All patients didn't undergo infection,looseness and rupture of fixation,nonunion of fracture,inversion and eversion of the knee or displacement of fracture. All cases attained anatomical reduction after operation,only 1 patient felt numbness of posterior lower part of the calf. According to Rasmussen assessment criteria,12 cases got an excellent result,7 good and 2 fair.
Conclusion:It is beneficial for the postermedial knee approaches to be used in the reduction and fixation of posteromedial condylar split fracture of tibial plateau. It has advantages of clearly exposure,convenient placement of the internal fixation,less trauma and good therapeutic effects. |
| KEY WORDS Tibial fracture Fracture fixation,internal Fractures,closed Knee joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈红卫,赵钢生,王子阳,潘骏.胫骨平台后内髁劈裂骨折的手术治疗[J].中国骨伤,2012,25(3):190~193 |
| 英文格式: | CHEN Hong-wei,ZHAO Gang-sheng,WANG Zi-yang,PAN Jun.Operative treatment for posteromedial condylar split fracture of tibial plateau[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(3):190~193 |
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