【作者】 崔锡范； 朱敏； 王伯珉；

【Author】 CUI Xi-fan,ZHU Min.Department of Orthopacdics of Yiyuan Contytranditional Hospital,YiYuan 256100,China

【机构】 山东沂源县中医院骨科； 山东省立医院创伤骨科；

【摘要】 [目的]探讨不同类型胫骨平台骨折的治疗方法及其疗效。[方法]自2005年1月～2009年6月共收治胫骨平台骨折66例,男43例,女23例。其中闭合性损伤54例,开放性损伤12例。按Schatzker分类。非手术治疗5例;手术治疗:经皮松质骨螺钉固定12例;切开复位解剖钢板固定并植骨49例。[结果]根据Hohl膝关节功能评分方法进行综合评分:优34例,良26例,可5例,差1例外,总优良率91%。[结论]关节面的解剖复位是治疗的主要目的,坚强内固定是次要的;术后积极的无负重下膝关节功能锻炼是获得良好临床效果的关键。更多还原

【Abstract】 [Objective]To investigate the selection of ideal therapeutic method for different kinds of Tib- ial plateau.[Method]From January 2005 to June 2009,66 patients with tibial plateau fracture were followed. The closed fracture were 54 cases,and the open were 12 cases.All the cases were classified by Schatzker standard,and treated respectively with conservative method in 5 cases,internal fixation with screw 12 cases;internal fixation with plates and bone implant 49 cases.[Results]The results were estimated according to Hohl knee functional rules.The excellent were 34 cases,the good 26 cases,the common 5 cases,the bad 1 cases.[Conclusion]The dissection replacement of the articular surfaces should be subjective, fastness internal fivation should be secondary;The key to the satisfiated results of the surgical treatment of tibial plateau fracture is the proper physical exercises without weight bearing.更多还原