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复杂胫骨平台骨折微创手术治疗21例 被引量:3

The Treatment of Complex Tibial Plateau Fractures by Minimal Invasive Surgery
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摘要 目的:探讨复杂胫骨平台骨折的微创手术治疗。方法:本组21例,按Schatzker分型Ⅳ型4例、Ⅴ型9例、Ⅵ型8例。均采用hyb ird外架+空心钉系统微创手术治疗,采用Lysholm方法评价手术后功能。结果:优18例、良2例、中1例,优良率为95.2%,疗效满意。结论:hyb ird外架+空心钉系统微创手术治疗复杂胫骨平台骨折有效,骨折愈合快,特别适合于软组织不佳的患者。 Objective: To investigate the operative method of minimal incision to treat complex tibial plateau fractures. Methods: Twenty one patients with tibial plateau fractures, including 4 of Schatzker Ⅳ, 9 of Schatzker Ⅴ, and 8 of Schatzker Ⅵ, were recruited. All patients were treated with minimal invasive surgery, using hybrid external fixation and cannulated screw. The function after operation was evaluated by Lysholm method. Results: Among all cases, 18 got excellent results, 2 was good, and 1 failed. The excellent and good rate was 95.4 %. Conclusion: The treatment of complex tibial plateau fractures with minimal invasive surgery using hybrid external fixation and cannulated screw is effective, and the fractures heal quickly. The method is especially fit for the patients with soft tissue impaired.
出处 《包头医学院学报》 CAS 2011年第4期47-48,共2页 Journal of Baotou Medical College
关键词 胫骨平台 骨折 手术 微创 Tibial plateau Fracture Surgery Minimal incision
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参考文献4

  • 1Schatzker J, McBroom R, Bruce D. The tibial plateau frac- ture. The Toronto experience 1968 - 1975 [ J ]. Clin Orthop Relat Res,1979, (138) :94 - 104.
  • 2张贵林,荣国威,吴新宝,吴宏华,张力丹.胫骨平台骨折手术复位效果不佳的原因分析[J].中华骨科杂志,2000,20(4):219-221. 被引量:301
  • 3Stokel EA, Sadasivan KK. Tibial plateau fractures: stand- ardized evaluation of operative results [ J ]. Orthopedics, 1991 114(3) :263 -270.
  • 4Lachiewicz PF, Funcik T. Factors influencing the result of open reduction and internal fixation of tibial plateau fracture [ J ]. Clin Orthop Relat Res, 1990, (259) :210 - 215.

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