前外侧入路排钉技术治疗单纯后外侧胫骨平台骨折疗效观察

发布时间：2018-10-15 12:48

【摘要】：目的总结前外侧入路排钉技术治疗单纯后外侧胫骨平台骨折的疗效。方法 2010年9月—2014年6月,采用前外侧入路排钉技术治疗单纯后外侧胫骨平台骨折17例。其中男11例,女6例;年龄45~65岁,平均51.2岁。致伤原因:摔伤5例,高处坠落伤3例,交通事故伤9例。伤后至入院时间1~4 h,平均2.3 h。结果术后患者切口均Ⅰ期愈合,无相关并发症发生。17例均获随访,随访时间18~24个月,平均20.7个月。术后CT及X线片复查示骨折均复位,其中2例遗留2 mm的关节面塌陷,余15例均达解剖复位;骨折均愈合,愈合时间12~16周,平均13.6周。随访期间无骨不连、钢板松动断裂、骨折复位丢失、膝关节外翻畸形及创伤性关节炎等并发症发生。末次随访时,采用Rasmussen评分评价膝关节功能,获优12例,良3例,中1例,差1例,优良率88.2%;膝关节最大屈曲度为105~130°,平均115.5°。结论前外侧入路排钉技术治疗单纯后外侧胫骨平台骨折具有创伤小、固定牢固的特点,疗效满意。
[Abstract]:Objective to summarize the efficacy of anterolateral approach for the treatment of posterolateral tibial plateau fractures. Methods from September 2010 to June 2014, 17 cases of simple posterolateral tibial plateau fractures were treated with anterolateral approach. There were 11 males and 6 females, aged 45 to 65 years (mean 51.2 years). The causes of injury included fall in 5 cases, fall in 3 cases and traffic accident in 9 cases. The time from injury to admission was 4 hours (mean 2.3 hours). Results all the incisions healed in the first stage, and no related complications occurred. 17 cases were followed up for 1824 months (mean 20.7 months). Postoperative CT and X-ray examination showed that the fracture was reduced in 2 cases with 2 mm of articular surface collapse and 15 cases with anatomic reduction. The healing time of the fracture was 1216 weeks with an average of 13.6 weeks. There were no nonunion, loosening and rupture of plate, loss of fracture reduction, knee joint valgus deformity and traumatic arthritis. At the last follow-up, the knee joint function was evaluated by Rasmussen score, 12 cases were excellent, 3 cases were good, 1 case was fair, 1 case was poor, the excellent and good rate was 88.2.The maximum flexion of knee joint was 105 掳, with an average of 115.5 掳. Conclusion the treatment of simple posterolateral tibial plateau fractures by anterolateral approach has the characteristics of less trauma, firm fixation and satisfactory curative effect.
【作者单位】：华中科技大学同济医学院附属荆州医院骨科;
【分类号】：R687.3

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