中西医结合治疗胫骨平台骨折56例分析

The Analysis of Fracture of Tibial Plateau by Combined Treatment of TCM and Western Medicine

目的：探讨胫骨平台骨折的最佳治疗方法。方法：回顾性分析本院1998年1月-2004年11月收冶的56例胫骨平台骨折手术患者，骨折类型按Schatzker分型，其中Ⅰ型13例、Ⅱ型15例、Ⅲ型12例、Ⅳ型9例、Ⅴ型4例、Ⅵ型3例。除Ⅰ型采用经皮穿刺空心螺钉内固定外，其余各型采用切开复住支持钢板内固定，自体髂骨植骨。结果：49例患者获随访，平均随访13个月（6～36个月），功能评价采用Merchant膝关节功能评分法，优良率迭91．86％。结论：胫骨平台骨折宜手术治疗，手术方法根据不同的骨折类型而异。

Objective： To study surgical treatment of t ibia plateau fractures. Methods ： Fifty - six cases of tibia plateau fractures were treated with internal fixat ion from January 1998 Novermber 2004 in our hospital. A rcording to Schatzker classificat ion, typeⅠ 13 cases, typeⅡ 15 eases; typeⅢ12 cases; typeⅣ9 cases; type Ⅴ4 cases and typeⅥ 3 cases. Type Ⅰwere treated w ith percute- neous cannulated screws, other types were treated with open reduction and internal fixat ion w ith but tress plates. And autologous cancellous bone grafts were used when the auricular surface were depressed. Results ：Of 56 patients, 49 were fo llowed up for 6 to 36months （averagely 13months）. The excellent and good rate was 91.86% based on Merchant scale for knee joint. Conclusion： Tibia plateau fractures should be treated surgically, the operation should be varied with the fracture types.