摘要
目的探讨经腘窝入路治疗胫骨平台后柱骨折的临床疗效及解剖学特点。方法经腘窝入路倒L切口进入膝关节后方,T型或者L型钢板后方支撑固定治疗胫骨平台后方或者内外侧平台骨折合并后方粉碎骨折12例,观察疗效。结果术后随访12～18个月,所有病例4.5个月均获得骨性愈合,采用Holh膝关节功能评分系统评定,优10例,良2例。结论采用经腘窝入路内固定治疗胫骨平台后柱骨折,骨折部位暴露充分,骨折复位满意,固定牢靠,有利于患肢早期功能锻炼,临床疗效满意。
Objective To investigate the clinical efficacy and anatomic base of internal fixation by posterior approach in treatment of tibia1 plateau fracture. Methods 12 cases of the tibial plateau fracture underwent open reduction and internal fixation with T-plate or L-plate through a posterior approach. All the cases were followed up and the clinical effects were analyzed. Results The follow-up duration was ranging from 12 - 18months （average 15 months） and all the fractures achieved clinical union. According to Holh rating system, there were 10 cases of excellent, two cases of good. Conclusions The treatment of tibial plateau fracture with internal fixation by posterior approach has satisfactory results of good reduction and firm fixation. It helps the patients to practice early exercises of knee and it is an effective method.
出处
《中华关节外科杂志（电子版）》
CAS
2013年第1期46-48,共3页
Chinese Journal of Joint Surgery(Electronic Edition)
关键词
胫骨
骨折
内固定器
Tibia
Fractures
Internal fixators
