微创植入钢板治疗胫骨平台骨折

Minimally invasive plate fixation for tibial plateau fractures

目的 探讨微创植入钢板在治疗胫骨平台骨折中的临床效果。 方法 采用微创植入钢板治疗胫骨平台骨折2 6例。 结果 全部病例随访 6个月～ 4年 ,平均 2 1年 ,均获得骨折愈合 ,按Merchant标准 ,优 2 0例 ,良 5例 ,可 1例。 结论 应用微创植入钢板治疗胫骨平台骨折 ,创伤小 ,固定牢靠 ,可早期功能锻炼 ,并发症少。

Objective To investigate the clinical results of minimally invasive plate fixation for tibial plateau fractures. Methods Minimally invasive plate fixation was adopted in 26 cases of tibial plateau fractures from January 2000 to June 2003. Results Follow-up for 6 months ～ 4 years (mean, 2 1 years) showed bone union in all the patients. The results of therapy were assessed according to the Merchant criteria as follows: excellent in 20, good in 5 and fair in 1. Conclusions Minimally invasive plate fixation in the management of tibial plateau fractures has advantages of minimal trauma, reliable fixation, early movement and fewer complications, being a valuable clinical alternative.