小切口治疗胫骨平台骨折自体股骨髁部植骨术的术中配合

Intraoperative coordination of small incision autologous bone graft in femoral condyle in treatment of tibial plateau fractures

目的探讨小切口治疗胫骨平台骨折自体股骨髁部植骨术的术中配合及术前术后访视。方法回顾性分析小切口治疗胫骨平台骨折自体股骨髁部植骨术的手术方法以及术前术后护理。结果32例患者均得到复位，手术时间平均约1h；术后随访时间为5—12个月，平均8．5个月；32例患者均无伤口和关节腔感染，亦无皮肤坏死等并发症，X线片检查均显示骨头愈合良好且无再次塌陷。术后Lysholm膝关节评分及关节活动度（ROM）检查，优13例，良16例，可3例，优良率为90．6％。随访5～12个月，骨折全部骨性愈合。结论小切口治疗胫骨平台骨折自体股骨髁部植骨术对于胫骨平台骨折具有很好的疗效，值得临床上推广和应用。

Objective To explore the intraoperative cooperation and preoperative and postoperative visits of small incision autologous bone graft in femoral condyles in the treatment of tibial plateau fractures. Methods The operation method and preoperative and postoperative nursing of small incision autologons bone graft in femoral condyles in the treatment of tibial plateau fractures were retrospectively analyzed. Results All the 32 patients received fracture reduction, with an average operation time of about 1 hour; Postoperative follow-up time was about 5-12 months, with an average of 8.5 months; No wound or articular cavity infection, or complications such as skin necrosis occurred among these 32 patients. X-ray examination showed good bone healing and no recollapses. Postoperative Lysholm knee score and range of motion （ROM） check showed that 13 cases were excellent, 16 cases good and 3 cases fair, with the excellent and good rate of 90.6%. In the 5-12 months of follow-up time, all fractures achieved bony union. Conclusion Small incision autologous bone graft in femoral condyles is very effective for tibia1 plateau fractures and isworthy of clinical promotion and application.