伴有后方劈裂或压缩的内侧胫骨平台骨折的手术治疗

发布时间：2018-03-22 22:12

本文选题：内侧平台骨折　切入点：防滑钢板　出处：《重庆医学》2017年04期 　论文类型：期刊论文

【摘要】：目的观察和探讨伴有后方劈裂或压缩的内侧平台骨折的临床研究。方法回顾性分析2014年1月至2016年1月在该院获得随访的28例伴有后方劈裂或压缩的胫骨内侧平台骨折患者的临床病例资料,所有患者均采用经后内侧入路固定,使用防滑钢板进行固定治疗,术后进行影像学和临床随访观察其临床疗效。结果 28例患者均得到随访,平均随访时间12个月。所有患者均未发生内固定松动或断裂,无血管及神经损伤等不良反应。所有患者均在4~7个月内愈合,平均愈合时间为18.5周。患者愈合后,膝关节的功能评定为优18例,良5例,中5例,优良率82.1%。结论使用防滑钢板经后内侧入路固定治疗伴有劈裂或压缩的内侧平台骨折,并发症少,临床疗效好,值得临床推广应用。
[Abstract]:Objective to observe and investigate the clinical study of medial plateau fracture with posterior split or compression. Methods 28 cases of medial tibial plateau with posterior split or compression were analyzed retrospectively from January 2014 to January 2016. Clinical data of patients with table fractures, All the patients were fixed by posterior medial approach and treated with antiskid plate. The clinical effects were observed by imaging and clinical follow-up. Results 28 patients were followed up. The mean follow-up time was 12 months. There was no internal fixation loosening or rupture, no adverse reactions such as blood vessel and nerve injury. All the patients healed within 4 ~ 7 months, and the average healing time was 18.5 weeks. The function of knee joint was evaluated as excellent in 18 cases, good in 5 cases, fair in 5 cases, excellent and good in 82.1 cases. Conclusion the medial plateau fracture with split or compressed medial plateau is treated with antiskid plate through the posterior medial approach, with fewer complications and better clinical effect. It is worth popularizing and applying in clinic.
【作者单位】：江西省新余市人民医院骨科;
【基金】：江西省卫生和计划生育委员会科技计划课题(20154047) 江西省新余市科技计划指导项目(20143090852)
【分类号】：R687.3

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