锁定钢板治疗胫骨平台骨折疗效观察

Clinical observation on treatment of tibial plateau fracture with locking plates

目的 探讨锁定钢板治疗胫骨平台骨折的方法及临床疗效。方法2007年7月～2009年12月，采用锁定钢板内固定治疗胫骨平台骨折30例，其中男19例，女11例；年龄27～70岁，平均38．9岁；闭合性骨折26例，开放性骨折4例。骨折分型采用Schatzker法，Ⅰ型1例，Ⅱ型2例，Ⅲ型5例，Ⅳ型6例，Ⅴ型13例，Ⅵ型3例。对30例患者的临床资料进行回顾性分析。结果 本组30例患者，术后随访7～18个月，平均12．6个月，所有病例6～9个月后均骨性愈合。参照Merchant功能评定标准，优20例，良7例，中2例，差1例，总优良率为90．O％。所有患者无内固定松动、断裂或骨折复位丢失现象。结论采用锁定钢板治疗胫骨平台骨折能够为胫骨平台提供良好的复位及力学稳定性，便于早期功能锻炼，关节功能满意。

Objective To explore the methods and clinical observation on treatment of tibial plateau fracture with locking plates. Methods From July 2007 to December 2009,using of locking plate internal fixation for tibial plateau fracture 30 cases, the male 19 cases, female 11 cases, Age 27-70, average 38.9 years old; Closed fracture 26 cases, open fractures 4 cases. Fracture Schatzker method, using parting type Ⅰ1 case,Ⅱ type 2 cases, Ⅲ type 5 cases, Ⅳ type 6 patients, Ⅴ type 13 cases, Ⅵ type 3 cases . The clinical data of 30 cases Were retrospectively analyzed. Results 30 patients were followed up for 7 - 18 months, mean 12.6 months, all cases were 6 - 9 months after bone union. According to Merchant criterion, excellent in 20 cases, good in 7 cases, in 2 cases and poor in 1 case, the total fine rate was 90. 0%. All patients without internal fixation loosening, fracture or loss of fracture reduction phenomenon. Conclusion The locking plate for treatment of tibial plateau fracture of tibial plateau can provide is a good reduction and mechanical stability, ease of early exercise, joint function were satisfactory.