三柱分型理论指下手术治疗复杂胫骨平台骨折的临床疗效分析.pdfVIP

The clinical effects analysis of treating complicated tibial plateau fractures under the direction of three column classification theory Specialty: Orthopaedics of TCM Author: Zhang Kaisan Tutor: Prof. Han Ming Abstract Objective: By analyzing data from patients of complicated tibial plateau fractures in the past 2 years, the research will summarize the experiences of treating complicated tibial plateau fractures under the direction of three column classification theory. Methods: In this research, 29 patients with complicated tibial plateau fractures were selected from Shandong university of traditional Chinese medicine hospital between April 2010 and October 2011. All patients were operated under the direction of three column classification theory and followed up for 10-16 months, an average of 12 months. According to types of injury: traffic accident injury in 15 cases, falling injury in 9 cases, heavy weight injury in 4 cases. According to Schatzker classification: type Ⅳin 5 cases, type Ⅴin 16 cases and typeⅥ in 8 cases. According to damage location types, cruciate ligament injury in 8 cases, meniscus injury in 5 cases, collateral ligaments injury in 4 cases. There were 22 males and 7 females, aged 18-67 years and mean age of 39.5 years; left knee in 17 cases, right knee in 12 cases. All the cases were unilateral fracture. Patients’ surgery time was determined by the degree of soft tissue injury. After operations,patients were guided to do systematic rehabilitation training and postoperative methods were necessary to avoid complication. Patients were followed 12 months after surgery and clinical curative effects were evaluated by HSS. Results: A total of 29 patients, excellent in 21 cases, good