【摘要】 目的探讨采用手术切开复位,内固定方法治疗胫骨平台骨折的疗效。方法对17例胫骨平台骨折,其中SchatzkerⅡ型3例,Ⅲ型2例,Ⅳ型3例,Ⅴ型5例,Ⅵ型4例,均进行手术切开复位,"T"型支持钢板,胫骨外侧钢板(高尔夫型棒钢板)加拉力螺丝钉内固定治疗。结果本组均获得随访,随访时间6~28个月,平均7个月,17例骨折均在12周愈合。术后疗效优9例、良5例、可3例、差1例。结论胫骨平台骨折特别是复杂型骨折(指schatzkerⅣ、Ⅴ、Ⅵ型),采用手术切开复位内固定治疗是积极有效的方法,可获得满意的疗效。术中应注意达到解剖复位,坚强内固定,术后早期功能锻炼,避免术后关节粘连僵硬的发生,是取得良好疗效的关键。更多还原

【Abstract】 Objective To assess the effect of 17 patients of tibia plateau fractures treated with internal fixation. Methods According to Schatzker system, the fractures were diagnosed as type Ⅱ in 3, type Ⅲ 2, type Ⅳ 3, type Ⅴ in 5 and type Ⅵ in 4. They were treated by open reduction and internal fixation with T-support plate or external tibia plate and lag screws. Results All the fractures were cured in 12 weeks and the follow-up was 6 to 28 months (average, 7 months). Of these, according to Wang Yicong’s Function Assessment score for function results of knee joint, 9 patients were rated as excellent, 5 good, 3 fair, and 1 bad. Conclusion For tibia plateau fractures, especially complex fractures (Schatzker Ⅳ, Ⅴ, and Ⅵ), open reduction and internal fixation were considered as an effective way. To obtain a satisfactory outcome and avoid joint stick and rigid, the important steps in treatment of tibia plateau fractures were anatomical reduction, strong internal fixation, and early functional exercises.更多还原