胫骨平台骨折的分型及50例治疗分析

The classification of tibial plateau fracture and treatment analysis on 50 cases

目的 分析胫骨平台骨折的分型和治疗效果,并为胫骨平台骨折提供最佳治疗方案。方法 本文选择2012年1月至2016年1月我院收治的50例胫骨平台骨折患者为研究对象,对骨折进行Schatzker分型,并进行治疗满意度比较。结果 术后进行随访,访问时间为10～36个月,平均为19.6个月。50例胫骨平台骨折患者中,18例为优（36.00%）,22例为良（44.00%）,9例为一般（18.00%）,1例为差（2.00%）,总有效率为98.00豫。其中,5例患者出现并发症,并发症发生率为10.00%。结论 内固定手术方法可以有效治疗胫骨平台骨折,而且术前正确处理、术中解剖复位和有效内固定,可以提高手术疗效,并能有效防止并发症的出现。

Objective To discuss the classification and clinical effect of tibial plateau fracture and provide the best treatment options for it. Methods Fifty cases of patients with tibial plateau fracture in our hospital from January 2012 to January 2016 were selected as the research objects. The tibial plateau fractures were classified with Sehatzker, and the treatment satisfaction were compared. Results All the patients were followed up for 10-36 months, and the average followup time was 19.6 months. There were 18 cases with excellent （36.00%）, 22 cases with good （44.00）, 9 cases with general （18.00%）, and 1 case with bad （2.00%）, the total effective rate was 98.00%. Five patients occurred complications, the incidence rate of complications was 10.00%. Conclusion The operative method can be used for the treatment of tibial plateau fractures, and the correct preoperative treatment, intraoperative anatomical reduction and effective internal fiation can improve the effect of operation and prevent the complications effectively.