[1]刘亚北 万春友△ 刘江涛 季煦 方杨.Taylor空间支架结合有限内固定与钢板内固定治疗Schatzker Ⅴ,Ⅵ型胫骨平台骨折31例[J].中国中医骨伤科杂志,2017,25(01):34-37.
　LIU Yabei WAN Chunyou LIU Jiangtao JI Xu FANG Yang.Therapeutic Effect of Limited Internal Fixation Combined with External Fixation and Inside-fixed Steel Treatments on Schatzker Ⅴ and Ⅵ Tibial Plateau Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(01):34-37.
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Taylor空间支架结合有限内固定与钢板内固定治疗Schatzker Ⅴ,Ⅵ型胫骨平台骨折31例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年01期
页码:
34-37
栏目:
临床研究
出版日期:
2017-01-15

文章信息/Info

Title:
Therapeutic Effect of Limited Internal Fixation Combined with External Fixation and Inside-fixed Steel Treatments on Schatzker Ⅴ and Ⅵ Tibial Plateau Fractures
文章编号:
1005-0205(2017)01-0034-04
作者:
刘亚北1 万春友2△ 刘江涛1 季煦1 方杨1
1天津中医药大学研究生院(天津,300193) 2天津市天津医院
Author(s):
LIU Yabei1 WAN Chunyou2△ LIU Jiangtao1 JI Xu1 FANG Yang1
1Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China; 2Tianjin Orthopaedic Hospital,Tianjin 300210,China.
关键词:
胫骨平台;  外固定;  内固定;  临床研究
Keywords:
tibial plateau fracture;  external fixation;  internal fixation;  clinical effect
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨闭合复位Taylor空间支架结合有限内固定治疗Schatzker Ⅴ,Ⅵ型胫骨平台骨折的安全性及临床疗效。方法:回顾性分析手术治疗胫骨平台骨折患者共31例,按Schatzker分型:Ⅴ型14例,Ⅵ型17例。其中外固定组患者14例:男性11例,女性3例; 平均年龄(41.0±10.9)岁。钢板内固定患者17例:男性12例,女性5例; 平均年龄(41.8±9.9)岁。术后1周开始随访,复查术后1,3,6个月X线片,观察骨折愈合情况。术后1年根据Lysholm系统评价两组患者膝关节功能。结果:全部患者均得到完整随访,随访时间5～24个月,平均(15.8±5.4)个月,骨折愈合良好,无延迟愈合、不愈合等。根据Lysholm系统:其中外固定支架组优8例,良4例,差2例,优良率85.7%; 内固定组优10例,良4例,差3例,优良率82.4%.术后膝关节Lysholm评分差异无统计学意义(P＞0.05).但手术时间、出血量及愈合时间差异有统计学意义(P＜0.05),外固定组优于内固定组。结论:Taylor空间支架及内固定钢板治疗胫骨平台Schatzker Ⅴ,Ⅵ型骨折均可获得满意效果; 外固定支架治疗胫骨平台骨折可以缩短手术时间,减少并发症,加速骨折愈合。
Abstract:
Objective:To investigate the safety and clinical effect of Taylor spatial fixation combined with limited internal fixation and plate internal fixation for the treatment of Schatzker Ⅴ and Ⅵ tibial plateau fractures.Methods:Retrospective analysis of 31 cases of surgical treatment of tibial plateau fractures,according to the Schatzker type:Ⅴ type 14 cases,Ⅵ type 17 cases.There were 14 patients who were(41.0±10.9)years of age,male 11cases,female 3 cases,who had been treated with external fixation.There were 17 patients who were(41.8±9.9)years of age,male 12 cases,female 5 cases,who had been treated plate fixation.Follow up start 5 days later,1month,3 months and 6 months after the operation,and the fracture healing was observed.The knee function of the two groups was evaluated according to the Lysholm system in 1 year after operation.Results:All patients were followed up for 5～24 months,with an average of(15.8±5.4)months.The fracture healed well,no delayed union,nonunion and so on.According to the Lysholm system,the external fixation group was excellent in 8 cases,good in 4 cases,poor in 2 cases,the excellent and good rate was 85.7%.Internal fixation group were excellent in 10 cases,good in 4 cases,poor in 3 cases,the excellent and good rate was 82.4%.There was no significant difference(P＞0.05).But the operation time,amount of bleeding and healing time were statistically significant(P＜0.05),the external fixation group was better than the internal fixation group.Conclusions:Satisfactory results can be obtained in the treatment of tibial plateau Schatzker Ⅴ and Ⅵ type fractures both Taylor spatial fixation and plate internal fixation.External fixation in the treatment of tibial plateau fractures can shorten operation time,reduce complications and accelerate fracture healing.

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备注/Memo

备注/Memo:
△通信作者 E-mail:wanchunyouxs@163.com
更新日期/Last Update: 2017-01-15