胫骨平台骨折26例手术治疗体会

Surgical treatment experience of 26 cases of tibial plateau fracture

目的研究胫骨平台骨折的类型、手术方式与治疗结果的关系。方法总结分析26例胫骨平台骨折的诊断与治疗方法及疗效,并对疗效进行评估。结果26例均获得随访24～36个月。按Lysholm评分标准评定:优13例,良10例,可2例,差1例,优良率达88.4%。结论根据具体情况适时早期手术;根据伤情选择恰当的手术入路;重视膝关节稳定结构,损伤争取一期修复;胫骨平台高度与宽度的准确复位是手术成功的关键;内固定以支撑钢板最可靠;功能锻炼应根据伤情及手术情况适时早期进行。

Objective Studies of the tibial plateau fracture type,the surgical procedure and the treatment outcome relationship.Methods Analyzed 26 Cases of the tibial plateau fracture diagnosis and the treatment methods and efficacy,and assess the efficacy.Results 26 cases were followed-up over time 24 months to 36 months period.Lysholm score according to the standard assessment：the result of treatment was evaluated as excellent in 13 patients,as good in 10,as fair in two and as poor in one patient,excellent rate of 88.4%.Conclusion Early operation in due course,circumstance dependent;considering the right choice of surgical approach for the injury;with an emphasis on the knee structure stability,the amount of damage to repair;the tibial plateau of broadband and a high degree of accuracy is the key to successful operation reset.In order to a reliable buttress plate fixation is functional exercise based on the injury type and the corrective surgery required for an early sta.