改良Carlson后外侧入路治疗胫骨平台单纯后外侧柱骨折.pdfVIP

Hans Journal of Surgery 外科, 2016, 5(1), 12-19 Published Online January 2016 in Hans. /journal/hjs /10.12677/hjs.2016.51002 A Modified Carlson’s Posterolateral Approach for the Treatment of Posterolateral Coronal Fractures of the Tibial Plateau * Xiaofeng Wu, Feng Xu , Wenge Sun, Ming Jiang, Binfeng Sun, Pingkang Qian Department of Orthopaedics, Kunshan Hospital of Traditional Chinese Medicine, Nanjing University of Traditional Chinese Medicine, Kunshan Jiangsu th th th Received: Dec. 28 , 2015; accepted: Jan. 15 , 2016; published: Jan. 18 , 2016 Copyright © 2016 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Objective: To introduce a modified Carlson’s posterolateral approach using locking plate for the treatment of posterolateral coronaI fractures of the tibial plateau. Methods: From January 2010 to December 2013, 45 patients with the posterolateral coronal fracture of the tibial plateau were oper- ated on. They were 28 males and 20 females, with a mean age of 37 years (range, from 19 to 65 years). The patients were treated with buttress plate fixation via a modified Carlson’s posterolateral approach. The knee functions were estimated with the Hospital for SpeciM Surgery (HSS) score sys- tem at 3 months, 6 months and 1 year postoperatively. Imaging data based on the measurement of angle of knee TPA, PA and joint flexion mobility to evaluate the curative effect were compared im- mediately, 3, 6 and 12 months after operation respectively. Results: The 48 patients were followed up for an avera