【摘要】 目的:分析胫骨平台骨折外科术式的选择及其适应证。方法:胫骨平台骨折患者89例,根据其骨折情况,分别采用闭合撬拨整复空心螺钉内固定和开放整复钢板内固定治疗,根据Hohl膝关节功能评分方法评估两种术式各自的疗效。结果:闭合撬拨整复组有45例得到随访,平均随访时间38个月,根据改良Hohl膝关节功能评分方法评定疗效,优20例,良19例,中3例,差3例,优良率86.7%。开放整复组38例均获随访,平均随访时间36个月,根据Hohl改良膝关节功能评分方法评定疗效,优19例,良14例,中3例,差2例,优良率86.8%。结论:撬拨整复空心螺钉内固定的方法相对适宜于Ⅰ~Ⅳ型(Schatzker分型)胫骨平台骨折,而对Ⅴ、Ⅵ型骨折的患者必须行切开复位钢板坚强内固定。更多还原

【Abstract】 Objective:To analyze the selection of surgical method for tibial plateau fracture and its indication.Methods:Eighty-nine patients with tibial plateau fractures were treated with different methods.Close reduction and internal fixation with hollow screw was used in 51 cases,open reduction and internal fixation with plate was used in 38 cases base on the type of fractures.The results of all the cases were evaluated according to the modified Hohl score of knee joint function.Results:Forty-five patients of closed reduction were followed up from 10 months to 6 years with an average of 38 months.Twenty cases obtained excellent result,19 good,3 fair,3 poor.The rate of excellent and good was 86.7%.Thirty-eight patients of open reduction were followed up from 10 months to 5 years with an average of 36 months.Nineteen cases obtained excellent result,14 good,3 fair,2 poor.The rate of excellent and good was 86.8%.Conclusions:Close reduction and internal fixation is relatively suitable for the treatment of tibial plateau fracture of Schatzker ⅠⅣ and Schatzker Ⅴ,Ⅵ must be treated with open reduction and internal fixation.更多还原