Free iliac bone graft for severe tibial plateau fracture of the tibial plateau.docVIP

 PAGE \* MERGEFORMAT 7 Free iliac bone graft for severe tibial plateau fracture of the tibial plateau [Abstract] of 12 patients with severe tibial plateau fracture of the periosteum of the inner plate with autologous bone graft reconstruction of the tibial plateau fracture surgery, the fine was 75%, can effectively prevent the occurrence of traumatic arthritis of the knee, the maximum to restore knee function. [Keywords:] fractures, bone grafts, tibial plateau Since June 2004 ~ August 2007, we adopted the free iliac bone graft reconstruction of large tibial plateau method for treating severe tibial plateau fracture in 12 cases, and achieved satisfactory results. Clinical data 1 General Information The group of 12 patients, 9 cases of men and 3 women, aged 23 to 69 years, mean 38 years. The causes of injury: road traffic injuries in 9 cases, 3 cases of fall injury. Left knee in 5 cases, 7 cases of the right knee, according to AO fracture classification type [1] B2.1 4 cases, B2.3 1 case, C3.1 6 cases, C3.2 type 1 case. combined with meniscus injury in 10 cases, 9 cases of cruciate ligament injury, lateral collateral ligament injury in 11 cases, popliteal artery injury in 1. treatment for 1 to 48 hours, an average of 7 hours, all cases were closed unicompartmental (internal or external damage. 2 treatment 12 cases of temporary plaster on admission herein are fixed, Taigaohuanzhi, drug application, swelling underwent surgery. Take before or on the upper leg anterior lateral incision directly under the periosteum, the fracture gap forced open, clear fragmentation loss of bone and cartilage surface, to retain large, screw fixed and can play effectively with the cruciate ligament, lateral collateral ligament attached to the bone. reference to the anatomical organization of contralateral remnant, its general involution, the satisfaction measurement platform defect area, saline gauze packing the wound. cut defect of the tibial plateau with consi