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胫骨平台闭合性骨折内固定治疗体会

Operative Methods and Curative Effect of the Tibial Plateau Fracture
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摘要 目的:探讨胫骨平台骨折手术内固定治疗方法及疗效。方法:对19例胫骨平台骨折患者行切开复位内固定治疗,恢复胫骨平台解剖,坚强内固定及早期功能锻炼。结果:术后随访12~18个月,参照Rasmussen评分标准评定,优11例,良5例,可2例,差1例,优良率为84.2%。结论:内固定是治疗胫骨平台骨折的有效方法,正确选择手术时机,术中良好的复位固定和植骨,早期恰当的功能锻炼可提高胫骨平台骨折的疗效。 Objective: To research the operative methods and curative effect of the tibial plateau fracture. Methods: 19 patients of the tibial plateau fracture were treated with open reduction. Results: All patients were followed up for 12~18 months,average 15 months,according to the Rasmussen score,11 patients were in excellent, 5 in good,2 in approve,1 in poor.The excellent ratio was 84.2% . Conclusion: Intenal fixation is an effective method to treat tibial plateau fracture.Good timing of surgery,correct reduction and bone graft,and early right functional exercise will enhance the curative effects of the tibial plateau fracture.
机构地区 庐江县人民医院
出处 《安徽卫生职业技术学院学报》 2010年第4期31-32,共2页 Journal of Anhui Health Vocational & Technical College
关键词 胫骨平台骨折 内固定 植骨 功能锻炼 tibial plateau fracture internal fixation bone-transplant function excercise
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参考文献3

  • 1Schatzker J,Tile M.The rationale of operative fracture care[J].Berlin Springer Verlag,1987,(2):279-294.
  • 2Rasmussen PS.Tibial Condyar fractures.Impairment of knee joint stability as an indication for surgical treatment[J].Bone Joint Surg Am,1973,55:1331-1350.
  • 3张贵林,荣国威,吴新宝,吴宏华,张力丹.胫骨平台骨折手术复位效果不佳的原因分析[J].中华骨科杂志,2000,20(4):219-221. 被引量:301

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