摘要
目的:分析微创技术治疗胫骨平台骨折的疗效。方法:胫骨平台骨折83例,男59例,女24例;年龄18~58岁,平均37岁。交通事故伤36例,坠落伤21例,砸伤10例,摔伤16例。外翻应力伤31例,内翻应力伤9例,垂直压迫或合并旋转应力伤43例。按Schatzker分类:Ⅰ型15例,Ⅱ型26例,Ⅳ型17例,Ⅴ型25例。均行经皮撬拨复位、鱼嘴钳固定治疗。结果:随访81例,时间2~7年,骨折均于3个月内愈合,膝关节完全伸直,屈膝平均127°(95°~145°)。参照Rasmussen胫骨髁部骨折膝关节功能进行评分:优49例,良27例,可4例,差1例。结论:经皮鱼嘴钳固定手术创伤小,固定可靠,能早期进行功能锻炼,避免二次手术取内固定物,是治疗胫骨平台骨折的有效方法。
Objective: To analyze the effect of minimal invasive surgery for the treatment of tibial plateau fracture. Methods: Eighty-three patients ( male 59 and female 24, age ringing from 18 to 58 years with the mean of 37 ) with tibial plateau fracture were treated with percutaneous fish-lip pincers fixation. Thirty-one cases were injuried by valgus stress and 9 cases were varas stress ,43 cases injuried by vertical compression and shearing stress. According to standard of Schatzker, type Ⅰ in 15 ,type Ⅱ in 26 ,type Ⅳ in 17 ,and type Ⅴ in 25. The clinical data of the patient was analyzed. Results: Eighty-one patients were followed up from 2 to 7 years. All the fractures healed in 3 months after operation and all the knee joints can extend completely,the average genuflex was 127° (from 95° to 145°). According to Rasmussen's functional recovery standard of knee joint,49 patients obtained excellent result,27 good,4 fair and 1 poor. Conclusion: Fish-lip pincer is a reliable fixer, it permits earlier exercise, lessens the operative injuries and avoids additional operation ( taking out internal fixer). It is a handy and effective method for the treatment of tibial plateau fracture.
出处
《中国骨伤》
CAS
2007年第1期26-28,共3页
China Journal of Orthopaedics and Traumatology
关键词
胫骨平台骨折
骨折固定术
鱼嘴钳
Tibial plateau fracture
Fracture fixation
Fish-lip pincer