双切口联合双钢治疗schatzker ⅴ、ⅳ型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：Orthopaedics of TCM ：Zhang Shaobo Tutor：Professor ：Xie Jin Abstract Objective: To study the dual-incision double plate in the treatment Ⅴ to Schatzker VI tibial plateau fracture of clinical efficacy. And under the guidance of the three-column theory to determine the postoperative stability of a reliable treatment method for clinical. Methods: In this study, cases selected from the period July 2009 to April 2011 at the Affiliated Hospital of Shandong University of Traditional Chinese Medicine orthopedic ward met the inclusion criteria to Schatzker ⅤVI type tibial plateau fracture in-patients of 38 cases were unilateral fracturewhere to Schatzker Ⅴ19cases, to Schatzker VI 19cases, 18males and 2emales, are dual-incision joint with two plates surgery, after surgery to prevent complications, and actively functional exercises. After 1 month, 3 months, 6 months, 12 months out-patient review, and take X-ray observation of fracture healing, check the function of knee joint activities, 1 year after application HSS knee score of knee score, effects were observed. Results: 38patients were postoperative follow-up were excellent in 22ases, good in 11ases, 3cases and poor in 2case, good rate of 86.84%. All cases were between the plate and the host has good biocompatibility. Conclusion: The dual incision of the application jointly with two plates placed within fixed treatment to Schatzker Ⅴtype Ⅵtibial platform fracture ultimately be able to restore the smooth articular surface, the normal power line and joint stability, and can increase the fixation strength, to avoid knee inside and outside turn deformity, reduce