后外侧倒L形入路3.5mm T形支撑钢板内固定治疗单纯后外侧胫骨平台骨折疗效观察

发布时间：2019-01-07 18:59

【摘要】：目的总结后外侧倒L形入路3.5 mm T形支撑钢板治疗单纯后外侧胫骨平台骨折的临床疗效。方法 2011年3月—2016年1月,采用后外侧倒L形入路3.5 mm T形支撑钢板内固定治疗单纯后外侧胫骨平台骨折13例。男6例,女7例;年龄28~52岁,平均43岁。左侧5例,右侧8例;致伤原因:交通事故伤6例,摔伤3例,高处坠落伤4例。术前行X线片、CT三维重建和MRI检查,均为单纯后外侧胫骨平台骨折;Schatzker分型:Ⅱ型4例,Ⅲ型9例。受伤至手术时间5~9 d,平均7 d。结果术后1例患者切口皮肤坏死,给予清创植皮后创面愈合;余均Ⅰ期愈合。13例患者均获随访,随访时间10~16个月,平均13个月。所有患者术后3个月X线片示骨折线均模糊,术后12个月骨折线均消失。无切口感染、重要血管神经损伤、内固定物松动或断裂以及关节面再次移位塌陷等并发症发生。末次随访时按改良美国特种外科医院(HSS)膝关节功能评分评价膝关节功能,获89~97分,平均94分;均达优。结论后外侧倒L形入路3.5 mm T形支撑钢板内固定可作为治疗单纯后外侧胫骨平台骨折的首选手术方式之一。
[Abstract]:Objective to summarize the clinical effect of 3. 5 mm T-supported plate in the treatment of simple posterolateral tibial plateau fractures. Methods from March 2011 to January 2016, 13 cases of simple posterolateral tibial plateau fractures were treated with 3. 5 mm T support plate internal fixation. There were 6 males and 7 females with an average age of 43 years. There were 5 cases on the left side and 8 cases on the right side, and the causes of the injury were: 6 cases of traffic accident injury, 3 cases of falling injury and 4 cases of falling injury. X-ray film, CT 3D reconstruction and MRI were performed before operation, all of them were simple posterolateral tibial plateau fractures, Schatzker classification: type 鈪，

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