累及后柱的胫骨平台骨折手术治疗体会

发布时间：2018-06-08 15:08

本文选题：胫骨平台骨折 + 后侧入路　；参考：《医学与哲学(B)》2017年09期

【摘要】：探讨胫骨平台骨折累及后柱的手术治疗方法。2014年1月~2015年1月笔者选取了25例胫骨平台骨折患者(后柱均受累)为研究对象,其中后内伴后外侧骨折8例,后内侧劈裂骨折11例,后外侧劈裂骨折6例。根据后柱累及部位不同采取后内侧入路、后外侧入路骨折复位固定术,观察临床治疗效果及并发症情况。结果,患者术中出血量(167.32±1.89)ml,住院时间(18.34±2.31)d,骨折愈合时间(14.22±0.60)周,完全负重时间(17.56±1.31)周,膝关节活动度(110.26±1.9)°。膝关节功能恢复优者16例(64%),良者5例(20%),优良率84%。膝关节后侧(后内侧或后外侧)入路复位及支撑钢板固定术具有复位合理、固定稳定性高、并发症少、膝关节功能快速恢复等优点,成为累及后柱的胫骨平台骨折治疗的首选手段。
[Abstract]:From January 2014 to January 2015, 25 cases of tibial plateau fractures (all of which were involved in posterior column) were selected as the study subjects, including 8 cases of posterior medial and posterolateral fractures. There were 11 cases of posterior medial split fracture and 6 cases of posterolateral split fracture. According to the site of posterior column involvement, posterior medial approach and posterolateral approach were adopted to observe the clinical effect and complications. The results showed that the intraoperative bleeding volume was 167.32 卤1.89 ml, the hospitalization time was 18.34 卤2.31 days, the fracture healing time was 14.22 卤0.60 weeks, the complete weight loading time was 17.56 卤1.31 weeks, and the knee motion was 110.26 卤1.9 掳. The recovery of knee function was excellent in 16 cases and good in 5 cases. The excellent and good rate was 84%. The posterior (posteromedial or posterolateral) approach of knee joint reduction and support plate fixation have the advantages of reasonable reduction, high fixation stability, less complications, rapid recovery of knee joint function, and so on. To become the first choice for the treatment of tibial plateau fractures involving posterior column.
【作者单位】：大连市第三人民医院脊柱创伤病房;
【分类号】：R687.3

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