双侧解剖型钢板疗schatzker ⅴ、ⅵ胫骨平台骨折的临床研究.pdfVIP

Clinical Observation of Bilateral Anatomical Type Steel Plates Treatment for Schatzker Ⅴ、Ⅵ Tibial Plateau Fracture Speciality：Orthopedics of Chinese Medicine Author ：Zhao Wenchao Tutor ：Professor..Bi Rongxiu Abstract Objective：provide reliable clinical and experimental data for bilateral anatomical type steel plates treatment for Schatzker Ⅴ、Ⅵ tibial plateau fracture Methods ：the 32 cases which meet inclusion criteria of Schatzker Ⅴ、Ⅵ tibial plateau fracture ,are from patients hospitalized in Traditional Chinese Medicine Hospital from October 2008 to October 2009.The patients were treated with surgery using bilateral anatomical type steel plates.Guiding function exercise and preventing the occurrence of complications actively after the surgery.Recheck the functional activities of the knee and judge the healing of the fracture through X-ray in 1 month ,3 months, 6 months and 12 months.Apply HSS knee rating criteria to observe effect. Results ：32 cases were followed up ,excellent in 18,good in 9, fair in 4, and poor in 1,84.4%excellent or good results were obtained. Conclusion：It can obtain good effect appling bilateral anatomical type steel plates to treat Schatzker Ⅴ、Ⅵ tibial plateau fracture.Finally it can restore the flatness of the articular surface,the line of force,the stability and activities of the joint and reduce the occurrence of degenerative arthritis. Key words fracture;tibial plateau;anatomical type steel plates 目 录 引 言 1 临床研究 2 一、临床资料 2 （一）病例选择标准 2 （二）一般资料 3 二、手术方法 4 三、术后处理及功能锻炼 5 四、术后观察及随访 6 五、疗效评定 6 六、结果 7 （一）术后骨折复位情况 7 （二）术后并发症 7 （三）骨折愈合时间 8 （四）功能评价 8 讨 论 9 一、Schatzker V、VI 型胫骨平台骨折的疾