胫骨平台骨折的治疗—附126例报告
骨折,,骨折;,胫骨平台;,治疗,摘要,关键词,1临床资料,2结果,3讨论,参考文献
摘 要:[目的]提高胫骨平台骨折的治愈率,降低伤残率。[方法]对126例胫骨平台骨折进行回顾性分析,平均随访20个月。探讨临床分型、治疗措施与预后的关系。[结果](1)本组126例,优86例,良21例,可14例,差5例,优良率849%;(2)Ⅰ型、Ⅱ型、Ⅲ型各自的优良率为9545%、833%、625%,P<001:(3)保守与手术治疗的优良率分别为915%、791%,P<005;(4)手术患者解剖复位与非解剖复位的优良率分别为85%、7037%,P>005。[结论](1)劈裂分离<5 mm、塌陷移位<3 mm的骨折仍可保守治疗,不宜任意扩大手术适应证;(2)手术复位残留<3 mm的塌陷,不影响功能恢复,不宜一味追求解剖复位;(3)内固定材料的选择以固定可靠、对组织剥离少、保护骨折部和皮肤的血运为原则;(4)尽可能保留半月板;(5)疗效与骨折的类型有关。
关键词:骨折; 胫骨平台; 治疗
中图分类号 R683.42
Treatment of tibial plateau fracture-report of 126 cases
YANG Dongfa.
Department of Orthopedics,Shijie People's Hospital,DongGuan 523290
Abstract:[Objective]To increase the cure rate and decrease the disabilities rate of tibial plateau fracture.[Method]The clinical classification, management, and prognosis of tibial plateau fracture were studied by following 126 cases in 20 months.[Result](1)126 cases were followed and the result was: excellent: 86 cases,good: 21 cases, acceptable: 14 cases, bad: 5 cases. The cure rate was 84.9 %.(2) The cure rates of type Ⅰ,Ⅱ and Ⅲ were 95.45%,83.3%,62.5%(P<0.01).(3) The cure rates of conservative and operative managements were 91.5% ......
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