解剖钢板在胫骨平台骨折治疗中的作用

The Function of Anatomic Plate in Treatment of Tibial Plateau Fracture

目的:探讨解剖钢板内固定治疗胫骨平台骨折的手术方法及疗效。方法:对2001年6月至2004年6月收治胫骨平台骨折46例进行回顾性,男38例,女8例,左侧33例,右13例。按Schaezker分类方法分型:Ⅲ型17例,Ⅳ型15例,Ⅴ型9例,Ⅵ型5例。根据分型的不同决定手术方式。Ⅲ型骨折行切开复位植骨MAY解剖钢板内固定,Ⅳ型、Ⅴ型、Ⅵ型骨折行切开复位植骨MAY解剖钢板加螺栓、螺钉内固定。结果:46例患者均获随访,随访时间18个月~48个月,平均24个月。按Merchant评分标准,优28例,良10例,中5例,差3例,优良率82.6%。结论:解剖钢板是胫骨平台骨折可靠的内固定。同种异体骨植骨治疗能获得较好的骨性愈合。合并韧带半月板损伤应及时处理,早期行CPM功能锻炼有助于膝关节功能的恢复。

Objective To explore the operative method and clinical outcomes for treating the tibia plateau fracture with anatomic plate at the proximal end of tibia. Methods From june 2001 to june 2004,46 patients (38 male,8 fernale;33 left,13 right) with the tibial plateau fracture were treated by open reduction and internal fixation.According to the Schatzker classification, there were 17 cases of type III,15 cases of type IV, 9 cases of type V, 5cases of type VI . Based on the different type, different operative pro...