临床研究小型内固定系统在胫骨平台骨折.PDFVIP

332 2005 6 18 6 China J Orthop rauma, Jun. 2005, Vol. 18, No. 6 李素明, 杭柏亚 ( , 210001) : : 36 , 25 , 11 ; 18~ 65 , 415 , Schatzker , : 36 6~ 26 ( 14 ) Lysholm , 32 ( 889%) , 3 , 1 : , , , , ; , ; Application of small fragment internal fixation in the treatment of tibial plateau fractures L I S um ing , H A N G Ba iya. D ep ar tme nt of Or thop aed ics a nd T r aum atology , the Af f il iate d N an ing T CM H osp ital of N a n ing Un iv er sity of T r ad it ional Chinese M ed ic ine, J ia ng su N an ing , 210001, Ch ina Abstract Objective: o evaluate the clinical outcome of application of small fragment internal fixation in t he treatment of tibial plat eau fractures. Methods: hirtysix patients( male 25 cases, female 11 cases; ages ranged from 18 to 65 years, w ith an average of 415) w ith t ibial plateau fracture were operated w ith small fragment internal fixation.According to Schatzkers classification of fracture, all patients were treated w ith dif ferent fixation methods such as raft screw s, periarticular plate and antiglide plate, etc. Results:All 36 patients w ere followedup regularly for an average of 14 months( ranged from 6 to 26 months) .According to Lysholms evaluation of knee joint function,thirtytwo of the patients had satisfactory functional outcome,fair 3,poor 1. Conclusion:Open reduction and small fragment internal fixation is an ideal management of tibial plateau frac ture.It can effectively maintain reduction and reduce the complications of the soft tissues. Key words ibial fractures; Fracture fixation, internal; Orthopaedics operative methods 2001 3 - 2003 5 , , 5 , 35 mm CPM 4 , 16 , , , 11 CPM 1 , CPM 11 36 , 25 , 11 ; : 2 CPM , 0~ 18~ 65 , 415 21 , 45, 12 h, 10, 10 , 5 Schatzker 95, ,