| 王连军 袁志 毕龙 孙克理 王怀斌.锁定钢板治疗胫骨平台骨折的临床疗效分析[J].,2014,14(12):2274-2277 |
| 锁定钢板治疗胫骨平台骨折的临床疗效分析 |
| Analysis of the Clinical Efficacy of Locking Plate in the Treatment of tibialplateau Fractures |
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| DOI： |
| 中文关键词: 锁定钢板 胫骨平台骨折 内固定 临床疗效 |
| 英文关键词: Locking plate Tibia platform Internal fixation Clinical efficacy |
| 基金项目:国家自然科学基金项目(30901532) |
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| 中文摘要: |
| 目的：探讨锁定钢板内固定治疗胫骨平台骨折的临床疗效及安全性。方法：回顾性分析本院2010 年1 月～2013 年1 月接受
锁定钢板内固定治疗的50 例胫骨平台骨折手术后患者的临床资料。其中男性36例，女性14例，骨折类型按Schatzker 分型分为
Ⅱ型20 例、Ⅲ型6 例、Ⅳ型5 例、Ⅴ型7 例、Ⅵ型12 例，均采用开放复位锁定钢板螺钉内固定治疗。采用Rasmussen 膝关节功能分
级系统评价其临床疗效。结果：本组50 例患者均获得随访，平均随访时间18 个月(8～36 个月)，Rasmussen 膝关节功能分级结果
为：优38 例，良9 例，可2 例，差1 例, 优良率达94 %。结论：开放复位锁定钢板内固定治疗胫骨平台骨折具有固定可靠，骨折愈合
率高的优点，且并发症少，是一种治疗胫骨平台骨折的有效内固定方法。 |
| 英文摘要: |
| Objective:To investigate the clinical efficacy and safety of locking plate in the treatment of tibial plateau fractures.Methods:The clinical data of seventy-two patients with tibial plateau fractures in our hospital from March 2010 to March 2013 were retrospectively
analyzed, including 36 males and 14 females. The 50 fractures were classified according to Schatzker classification. There
were 20 cases in Schatzker type Ⅱ, 6 in Ⅲ, 5 in Ⅳ, 7 in Ⅴ, 12 in Ⅵ. All the patients were received open reduction surgery. The postoperative
curative effect was analyzed by Rasmussen grading of knee joint function.Results:All the 50 cases were followed-up, and the average
follow-up time was 18months (8-36months). According to Rasmussen grading, the function of the injured knees showed 38 excellent
cases, 9 good cases, 2 fair case, and 1 poor case. The excellent and good rate was 94 %.Conclusion:Locking plate fixation might
have advantages of reliable fixation, high fracture healing, and fewer complications in the management of tibial plateau fractures, which
was a valuable clinical alternative in the treatment of tibial plateau fractures. |
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