郑联合王育才张云飞于哲陈翔.个性化后侧入路治疗胫骨平台后髁冠状面骨折[J].,2012,12(9):1680-1682 |
个性化后侧入路治疗胫骨平台后髁冠状面骨折 |
Treatment of Posterior Condylar Tibial Plateau Coronal FracturesThrough Individual Posterior Approach |
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DOI: |
中文关键词: 后侧入路 胫骨平台 骨折 |
英文关键词: Posterior approach Tibial plateau Fracture |
基金项目:国家自然科学基金资助项目(30872597) |
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中文摘要: |
目的:探讨个性化后侧入路治疗单纯性胫骨平台后髁冠状面骨折手术方法。方法:12 例单纯性胫骨平台后髁冠状面骨折的
患者,采用后内侧或后外侧以及后内后外联合入路切开复位内固定治疗。结果:12 例均获随访,随访时间8-24 个月,平均13 个月。
患者膝关节功能评定按Hohl 评分标准:优10 例,良2 例。复查X 线片:骨折复位良好,关节面未见明显塌陷。结论:个性化后侧入路
治疗单纯性胫骨平台后髁骨折冠状面可直视下暴露胫骨平台后髁,提供了更广阔的操作空间,有利于骨折的解剖复位内固定。 |
英文摘要: |
Objective: To investigate the surgical treatment of posterior condylar tibial plateau coronal fractures through individual
posterior approach. Methods: 12 cases of posterior condylar tibial plateau coronal fractures were treated through posteromedial approach
or posterolateral approach or posteromedial combined posterolateral approach. Results: All the 12 cases were followed up from 10-24
months (average 13 months). Hohl score method was used to evaluate the knee function and 10 cases were excellent and 2 cases were
good. Fracture reduction was good and no articular surface collapse was noticed by X ray examination. Conclusion: Individual posterior
approach can expose the posterior condylar tibial plateau thoroughly and can provide wider operation space and was helpful to the reduction
and fixation of fractures. |
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