摘要
目的探讨胫骨平台后髁骨折的治疗方法。方法采用后内侧和(或)后外侧入路治疗12例胫骨平台后髁骨折患者。结果12例均获得随访,时间10～34(20.8±2)个月,骨折愈合时间5～8(6.4±0.9)个月。关节功能评定按Hohl评分标准:优9例,良3例。未见关节面塌陷及膝关节内外翻情况发生。结论膝关节后内和(或)外侧入路较前侧入路能更充分暴露后关节间隙及胫骨平台后髁,为骨折的直视复位和植骨内固定提供了良好的操作空间。
Objective To study the treatment of posterior condylar tibial plateau fractures. Methods 12 patients with posterior condylar tibial plateau fractures were treated through the posterolateral or/and posteromedial incision. Results All patients were followed up for 10 to 34 months （ with an average of 20. 8 ± 2 ）. The fractures were all healed at 5 to 8 months （ with an average of 6.4 ± 0. 9） , and no height loss, genu valgum or varum was found. The joint function of knee was evaluated according to Hohl score, and 9 cases had excellent and 3 cases had good results. Conclusions Through the posterolateral or/and posteromedial approach, the fractures can be reduced with direct visualization and direct fracture manipulation. It is a suitable incision for the posterior condylar tibial plateau fractures.
出处
《临床骨科杂志》
2009年第1期48-50,共3页
Journal of Clinical Orthopaedics
关键词
胫骨平台骨折
骨折固定术
内
tibial plateau fractures
fracture fixation, internal
