| 木筏克氏针技术在胫骨平台塌陷性骨折中的应用 |
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投稿时间：2015-11-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 张兴州 |
ZHANG Xing-zhou |
常州市武进中医医院, 江苏 常州 213000 |
Changzhou Wujin Hospital of Traditional Chinese Medicine, Changzhou 213000, Jiangsu, China |
zhangxinzhou@yeah.net |
| 俞伟忠 |
YU Wei-zhong |
常州市武进中医医院, 江苏 常州 213000 |
Changzhou Wujin Hospital of Traditional Chinese Medicine, Changzhou 213000, Jiangsu, China |
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| 李云峰 |
LI Yun-feng |
常州市武进中医医院, 江苏 常州 213000 |
Changzhou Wujin Hospital of Traditional Chinese Medicine, Changzhou 213000, Jiangsu, China |
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| 刘延辉 |
LIU Yan-hui |
常州市武进中医医院, 江苏 常州 213000 |
Changzhou Wujin Hospital of Traditional Chinese Medicine, Changzhou 213000, Jiangsu, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第12期，第1083-1085页 |
| DOI：10.3969/j.issn.1003-0034.2015.12.003 |
| 基金项目: |
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中文摘要:
目的:总结木筏克氏针技术在塌陷性胫骨平台骨折治疗中的应用。
方法:2013年1月至2015年1月采用锁定钢板结合木筏克氏针技术治疗胫骨平台骨折患者45例,男33例,女12例;年龄22～56岁,平均44.2岁。骨折类型按Schatzker分型;Ⅱ型6例,Ⅲ型8例,Ⅳ型4例,Ⅴ型22例,Ⅵ型5例。所有患者给予2～5根克氏针内固定。有骨缺损者给予同种异体骨植骨。术后3个月开始部分负重,5个月完全负重。观察术后并发症情况,并采用Rasmussen临床和放射评分进行临床评价。
结果:45例患者均获得随访,时间10～23个月,平均14个月。根据Rasmussen临床和放射评分方法,临床评分23.58±6.33,放射评分14.00±6.33.4例患者有严重骨质疏松,术后出现不同程度关节面塌陷,5例患者出现创伤性骨性关节炎。
结论:木筏克氏针、解剖钢板内固定技术可有效固定并支撑平台塌陷及小关节面碎骨块,增大支撑表面积,降低术后复位丢失率。 |
| 【关键词】胫骨平台骨折 木筏克氏针 骨折固定术,内 |
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| Application of rafting K-wire technique for tibial plateau fractures |
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ABSTRACT
Objective:To summarize application of rafting K-wires technique for tibial plateau fractures.
Methods:From January 2013 to January 2015,45 patients with tibial plateau fractures were treated by locking plate with rafting K-wires,including 33 males and 12 females with an average of 44.2 years old ranging from 22 to 56 years old. According to Schatzker classification,6 cases were typeⅡ,8 were type Ⅲ,4 were type Ⅳ,4 were type Ⅴ,and 5 were type Ⅵ. Allogeneic bone graft were performed for bone defects. All patients were fixed with two to five K-wires. Part of weight loading were encouraged at 3 months after operation,and full weight-loading were done at 5 months after operation. Postoperative complications were observed,and Rasmussen clinical and radiological assessment were used to evaluate clinical results.
Results:All Patients were followed up from 10 to 23 months with average of 14 months. According to Rasmussen clinical and radiological assessment,clinical scores 23.58±6.33,radiological scores were 14.00±6.33; and excellent and good rates were 82.2% and 77.8% respectively. Four patients occurred severe osteoporosis and collapse of articular surface;5 patients occurred traumatic arthritis.
Conclusion:Rafting K-wires technique with anatomized armor plate could effective fix and support platform collapse and joint bone fragments,increase support surface area and reduce postoperative reduction loss rate. |
| KEY WORDS Tibial plateau fractures rafting K-wire 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: | 张兴州,俞伟忠,李云峰,刘延辉.木筏克氏针技术在胫骨平台塌陷性骨折中的应用[J].中国骨伤,2015,28(12):1083~1085 |
| 英文格式: | ZHANG Xing-zhou,YU Wei-zhong,LI Yun-feng,LIU Yan-hui.Application of rafting K-wire technique for tibial plateau fractures[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(12):1083~1085 |
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