Needle pry pull reduction and external fixation for tibial plateau fracture 42 cases of.doc

 PAGE \* MERGEFORMAT 6 Needle pry pull reduction and external fixation for tibial plateau fracture 42 cases of [Abstract] Objective: To observe the needle pry pull reduction and external fixation of tibial plateau fractures. Methods: 42 cases of various types of tibial plateau fractures, are used needle pry pull, leg external fixation. Results: The effective restoration of articular surface can be smooth, stump stable and reliable, with a total effective rate was 100%. Conclusion: This therapy is limited to a half into the surgery, the more traditional manual reduction, traction or open reduction and fixation of bone have a certain superiority. [Keywords:] of the tibial plateau; needle pry pull reset; external fixator In our hospital from February 2001 ~ March 2003 Application of needle pry leg pulling reduction external fixation for tibial plateau fracture 42 cases, satisfactory effect is reported as follows: A clinical data The group of 42 cases, male 31 cases, female 11 cases; aged 21 to 45 years, mean 33 years of age; the right side of 16 cases, left in 26 cases; injury time, 3h ~ 14d, an average of 8.9d, a simple splitting fractures in 18 cases, Splitting collapse fracture in 8 cases, medial condylar fracture in 7 cases, pairs of condylar fractures in 9 cases. Simple central collapse fractures not suitable for this treatment. Two treatment Horizontal patients, epidural anesthesia, C-arm machine monitoring, an assistant holding limb ankle, knee in patients with an assistant holding the Ministry of line against the traction on the simple split pairs of condylar fractures and fractures, patients are surrounded by pairs of hands squeezing the Department of Pressure tibial condyle, depending on the split level from side to side to move closer to stump close to the separation of the tibial plateau articular surface smooth; right split condylar fractures within the fracture and collapse, in the fight against the case of traction, surgery to bone stump