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Of tibial plateau fracture surgery related factors
PAGE \* MERGEFORMAT 5
Of tibial plateau fracture surgery related factors
[Abstract] will be diagnosed tibial plateau fracture 32 cases using internal fixation and bone grafting treatment, all were clinically cured, excellent rate of 87.6%. Clinical attention to the impact of tibial plateau fracture surgery related factors, surgery can achieve good results.
[Keywords:] fracture, internal fixation, surgery
April 2005 ~ February 2007 with surgical treatment of tibial plateau fractures, 32 cases achieved satisfactory results. This paper analyzes the internal fixation of tibial plateau in the treatment of several related factors, the report will now experience the following.
Clinical data
1 General Information of this group 32 patients, 19 cases were males and 13 females, aged 21 to 64 years (mean 37.9 + -5.2 years old. The causes of injury: 20 cases of road traffic injuries, falls injury in 4 cases, the pressure drop 8 cases of injury, according to Schatzker classification [1]: type in 6 cases, type in 10 cases, 4 cases, type 2 cases, V-9 cases, 1 case, combined meniscus in 2 cases, side collateral ligament injury in 5 cases, posterior cruciate ligament injury in 1.
2 surgical methods continuous epidural anesthesia, according to fracture type using anterolateral, anteromedial and anterolateral anteromedial incision. By Kirschner, absorbable screws, washers cancellous bone with lag screws in 12 cases down L-plate, T-bone plate and bolt plate and golf. screw fixation .12 cases of 20 cases after the collapse of the articular surface reductiongt; 10mm who paving using autologous bone grafts. surgery to fight infection, 3 months Shimoji, after the repair of the fracture load gradually walk.
3 Results The 32 patients were followed up for 8 to 24 months. By Rasmussen scoring criteria [2]: excellent in 22 cases, good in 6 cases and 2 cases and poor in 2 cases, good rate of 87.6% patients had .1 lateral platform collapse, knee valgus, 1 patient ba
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