胫骨平台骨折三柱分型和治疗分析.pdf

Analyzing the three column classification of tibial plateau fractures and their treatment Speciality：Orthopaedics of TCM Author ：Deng Wenjie Tutor：Professor Zhang Junzhong Abstract Objective: To explore the Three-Column Classification method of tibial plateau fractures and the analysis of their treatment. Methods: March 2009 to March 2011, 62 cases tibial plateau fracture application three-column type, including two cases of simple compression fractures, 37 cases of simple columnar fractures, 20 cases double column fractures and 3 cases three column fractures. According to three column Classification selection surgical approach and internal fixation, the lateral column, medial column and posterior column fracture use respectively the anterolateral approach, improvement in the middle of the road and reverse the L-shaped road, for double column and three column fracture is taken the combined surgery way, postoperative follow-up evaluation of clinical effect. Observe the time, average the healing time, the immediate and 12 months after the tibial plateau of turn inward Angle and Angle, and knee mobility and Lysholm knee rating. Results: The mean operation time single column, double column, three column fractures are the 72.8 min、92.6 min、106.1 min, follow-up of 12～32 months, average follow-up of 21.6 months, mean the healing time 15.7 weeks, 12 months after the Lysholm of knee joint score averaged 90.3 points, measuring the immediate and 12 months after the X-ray tibial plateau on the turn inward Angle and Angle, the difference was not statistically significant (P 0.05). Conclusion: The classification based on CT of tibial plateau three columns can have good operation guidance to complex t