重组合异种骨加钢板内固定治疗胫骨平台骨折

TREATMENT OF TIBIAL PLATEAU FRACTURE WITH RECONSTRUCTED BONE XENOGRAFT PLUS BUTTRESS PLATE INTERNAL FIXATION

目的 探讨重组合异种骨植骨加钢板内固定治疗胫骨平台骨折的临床疗效。 方法 2 0 0 1年 6月～2 0 0 3年 3月 ,采用切开复位、重组合异种骨植骨加支持钢板 ( T型或 L型 )内固定 ,治疗胫骨平台骨折 32例。男 2 0例 ,女12例 ,年龄 18～ 6 9岁 ,平均 38岁。交通伤 2 3例 ,坠落伤 5例 ,砸伤 4例 ,均为新鲜闭合性骨折。受伤至手术时间 2～ 7天。术中植骨量 2～ 6 g。 结果 全部患者经 9～ 2 3个月随访 ,胫骨平台骨折愈合良好 ,未见关节面下陷 ,重组合异种骨未见移动、吸收。按 Pasmussen评分标准 ,优 16例 ,良 12例 ,可 3例 ,差 1例 ,优良率达 87.5 %。 结论 重组合异种骨植骨加支持钢板内固定治疗胫骨平台骨折效果良好 。

Objective To investigate the clinical effect of reconstructed bone xenograft plus buttress plate (T or L type) fixation in treating tibial plateau fracture. Methods From June 2001 to March 2003, 32 cases of tibial plateau fractures were treated by means of open reduction, reconstructed bone xenograft plus buttress plate (T or L type) fixation. There were 23 cases of bumper fracture, 5 cases of falling injury and 4 cases of crush injury by a weight; 20 males and 12 females, aged from 18 to 69 years with an average of 38 years. All patients had close fracture. Results All the patients were followed up for 9 months to 23 months, tibial plateau fracture healed satisfactorily without sunken articular surface. According to Pasmussen criterion, the results were excellent in 16 knees, good in 12 knees and moderate in 3 knees. The satisfactory rate was 87.5%. Conclusion Reconstructed bone xenograft plus buttress plate internal fixation has good effect in treating tibial plateau fractures because it can avoid the complication of transplantation of ilium.