[1]亢世杰 胡义明 鲍飞龙 黄东生 江涛 刘涛. 双反牵引、微创复位及raft技术治疗后内及后外侧胫骨平台骨折[J].中华老年骨科与康复电子杂志,2018,(05):261-265.
　Kang Shijie,Hu Yiming,Bao Feilong,et al.Posteromedial and posterolateral tibial plateau fractures after homeopathic double reverse traction, minimally invasive reduction and raft technique[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(05):261-265.
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 双反牵引、微创复位及raft技术治疗后内及后外侧胫骨平台骨折()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2018年05期
页码:
261-265
栏目:
创新技术
出版日期:
2018-10-05

文章信息/Info

Title:
Posteromedial and posterolateral tibial plateau fractures after homeopathic double reverse traction, minimally invasive reduction and raft technique
作者:
亢世杰 胡义明 鲍飞龙 黄东生 江涛 刘涛
266035 山东大学齐鲁医院（青岛）创伤骨科
Author(s):
Kang Shijie;  Hu Yiming;  Bao Feilong;  Huang Dongsheng;  Jiang Tao;  Liu Tao
 Department of Traumatology, Qilu Hospital of Shandong University, Qingdao 266035, China
关键词:
胫骨骨折;  外科手术; 微创性;  内固定
Keywords:
Tibial fractures;  Surgical procedures;  Minimally invasive;  Internal fixation
文献标志码:
A
摘要:
 【摘要】 目的 分析双反牵引闭合复位，内外侧经皮置入双钢板治疗后内及后外侧胫骨平台骨折的效果，评估复位质量及功能恢复情况。方法 回顾性收集2015年9月至2017年12月，山东大学齐鲁医院（青岛）创伤骨科收治的后内及后外侧胫骨平台骨折19例，其中男性11例，女性8例，年龄37～73岁，平均56.71岁。均采取双反牵引闭合复位，内外侧经皮置入双钢板治疗术后给予X线及三维CT再次评估复位情况。同时随访评估功能恢复情况。结果 17例患者获得随访，随访时间6～14个月（平均10.1个月），骨折均获得愈合，无畸形愈合及骨不连。1例切口愈合不良，经换药后切口愈合。采用美国特种外科医院（HSS）膝关节评分，优14例，良3例。结论 应用双反牵引、微创技术植入钢板及双钢板raft技术固定治疗后内及后外侧胫骨平台骨折具有术中快速复位，软组织并发症少，可避免骨折塌陷，畸形愈合优点。这种方法是治疗后内侧及后外侧胫骨平台骨折的有效手段，值得临床推荐。
Abstract:
Objective To analyse the effects of homeopathic double-reverse traction with medial and lateral percutaneous double plate in the treatment for posteromedial and posterolateral tibial plateau fractures, and further analysis the quality of restoration and functional recovery. Methods A retrospective collection of 19 cases of posteromedial and posterolateral tibial plateau fractures in the department of Trauma and Orthopaedics of Qilu Hospital from September 2015 to December 2017, including 11 males and 8 females, aged 37-73 years old, with an average of 56.71 years old. All patients underwent homeopathic double-reverse traction closed reduction and medial and lateral percutaneous double plate were used, reduction were using X-ray and three-dimensional CT scan. Meanwhile functional recovery were followed-up. Results Seventeen patients were followed up for 6 to 14 months (mean 10.1 months). All fractures were healed without malunion and nonunion. One case had poor healing of the incision, and the incision healed after dressing change. Patients were evaluated with the US Special Surgery Hospital (HSS) knee score, excellent in 14 cases, and good in 3 cases. Conclusions The posteromedial and posterolateral tibial plateau fractures with homeopathic double-reverse traction, minimally invasive technique and double-plate raft technique have rapid intraoperative reduction and less soft tissue complications, which can avoid fracture collapse and malformation. This method is an effective method for the treatment of posteremedial and posterolateral tibial plateau fractures and worthy clinical recommendation.

参考文献/References:


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备注/Memo

备注/Memo:
 基金项目：青岛市医疗卫生重点学科建设项目（QDZDXK-A-2017005）
更新日期/Last Update: 2019-01-28