骨折_____骨折；_胫骨平台；

胫骨平台骨折的治疗—附126例报告

http://www.100md.com 《中国矫形外科杂志》 2006年第10期

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849%；(2)Ⅰ型、Ⅱ型、Ⅲ型各自的优良率为9545%、833%、625%，P<001：(3)保守与手术治疗的优良率分别为915%、791%，P<005；(4)手术患者解剖复位与非解剖复位的优良率分别为85%、7037%，P>005。[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 Dongfa.

    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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