后侧入路结合T型锁定钢板治疗胫骨平台后髁骨折

Treatment of Fracture of Posterior Condyle of Tibial Plateau Using T-shaped Lock Plate through Posterior Approach

目的探讨后侧入路结合T型锁定钢板治疗胫骨平台后髁骨折的临床疗效。方法对15例胫骨平台后髁骨折采用后侧入路结合T型锁定钢板内固定治疗,观察其临床疗效。结果本组15例患者均获得随访,时间6~16个月,平均(12±1.2)个月。骨折均骨性愈合,愈合时间10~18周,平均(12±3.6)周。术后12个月膝关节功能按Hohl评分标准,优10例,良3例,可2例,优良率86.7%。结论后侧入路结合T型锁定钢板内固定治疗胫骨平台后髁骨折,显露充分,复位满意,内固定可靠,可进行早期功能锻炼,是治疗胫骨平台后髁骨折的一种优良术式。

Objective To investigate the efficacy of treatment of fracture of the posterior condyle of the tibial plateau u- sing the T-shaped lock plate through a posterior approach. Methods The clinical efficacy of T-shaped lock plate for internal fixation of fracture of the tibial plateau in 15 cases was observed. Results All the 15 cases were followed up for an average of 12 months, ranging from 6 to 16 months. All fracture achieved bony union, with the average union time being 12 ~ 1.2 months, ranging from 10 to 18 months. According to the Hohl standard of evaluation for knee function,the efficacy of fracture was excel- lent in 10 cases,good in 3 cases and fair in 2 cases,the rate of excellence and goodness being 86.7%. Conclusion Adoption of tl^e T-shaped lock plate for fixation of fracture of posterior condyle of tibial plateau through a posterior approach has the ad- vantages of being sufficient in exposure, reliable in reduction and fixation, able to underwent early functional rehabilitation. It is an excellent surgical approach for treatment of the posterior condyle of the tibial plateau.