[1]霍明昌 王茂玉 崔岩.Hybrid外固定支架治疗开放性胫骨平台骨折7例[J].中国中医骨伤科杂志,2016,24(11):62-64.
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Hybrid外固定支架治疗开放性胫骨平台骨折7例
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年11期
页码:
62-64
栏目:
临床报道
出版日期:
2016-11-01

文章信息/Info

文章编号:
1005-0205(2016)11-0062-03
作者:
霍明昌1 王茂玉1 崔岩1
1.山东青岛市胶州中心医院(山东 青岛,266300)
关键词:
Hybrid外固定支架 胫骨平台骨折 Merchant评分
分类号:
R683.42
文献标志码:
B
摘要:
目的:探讨Hybrid外固定支架治疗严重开放性胫骨平台骨折的初步临床疗效。方法:2012年1月至2014年12月采用Hybrid外固定支架治疗严重开放性胫骨平台骨折7例,其中Schatzker Ⅴ型4例,Ⅵ型3例; Gustilo ⅡB型4例,ⅢA型2例,ⅢB型1例。结果:7例患者均获得随访,平均15.4个月(6~36个月); 7例骨折完全愈合,平均愈合时间为5.6个月(4~9个月),经过连续随访确定骨折愈合后即拆除外固定架。疗效按照Merchant评分标准:优 4 例,良 2例,可1 例,差0例。未发生膝关节不稳定,7例患者均能正常行走。结论:对于严重的开放性胫骨平台骨折,Hybrid外固定架可对骨折进行有效固定,对软组织干扰小,获得较好的临床效果。

参考文献/References:

[1] Schatzker J,McBroom R,Bruce D.The tibial plateau fracture.The Toronto experience 1968-1975[J].Clin Orthop Relat Res,1979,138:94-104.
[2] Gustilo RB,Anderson JT.Prevention of infection in the treatment of one thousand twenty-five open fractures of long bones:retrospective and prospective analysis[J].J Bone Jt Surg Am,2002,84-A(4):682.
[3] Reid JS,van Slyker MA,Moulton MJ,et a1.Safe placement of proximal tibial transfixation wires with respect to intracapsular penetration[J].J Orthop Trauma,2001,15(1):10-17.
[4] Merehmat TC,Dietz FR. Long term follow-up after fractures of the tibial and fribular shaft[J].J Bone Joint Surg Am,1989,71(4):599-606.
[5] Weaver MJ,Harris MB,Strom AC,et al.Fracture pattern and fixation type related to loss of reduction in bicondylar tibial plateau fractures[J].Injury,2012,43(6):864-869.
[6] Subasi M,Kapukaya A,Arslan H,et al.Outcome of open comminuted tibial plateau fractures treated using an external fixator[J].J Orthop Sci,2007,12(4):347-353.
[7] Conserva V,Vicenti G,Allegretti G,et al.Retrospective review of tibial plateau fractures treated by two methods without staging[J].Injury,2015,46(10):1951-1956.
[8] 卡内尔,贝蒂.坎贝尔骨科手术学[M].王岩,译.12版.北京:人民军医出版社,2014.
[9] Babis GC,Evangelopoulos DS,Kontovazenitis P,et al.High energy tibial plateau fractures treated with hybrid external fixation[J].J Orthop Surg Res,2011,(6):35-42.
[10] Conserva V,Vicenti G,Allegretti G,et al.Retrospective review of tibial plateau fractures treated by two methods without staging[J].Injury,2015,46(10):1951-1956.
[11] McLaurin TM.Hybrid ring external fixation in the treatment of complex tibial plateau fractures[J].Tech Knee Surg,2005,4:226-236.
[12] Kataria H,Sharma N,Kanojia RK.Small wire external fixation for high-energy tibial plateau fractures[J].J Orthop Surg(Hong Kong),2007,15(2):137-143.
[13] Ali AM.Outcomes of open bicondylar tibial plateau fractures treated with Ilizarov external fixator with or without minimal internal fixation[J].Eur J Orthop Surg Traumatol,2013,23(3):349-355.

更新日期/Last Update: 2016-11-15