Surgical Treatment of Old Tibial Plateau Fracture_West China Medical Journal

Authors：

SUN Chuanjiang ¹ , CHI Leitin ²

Department of Orthopedics, the Panzhihua Steel Corporation Central Hospital, Panzhihua Sichuan 617023,China;

Corresponding author：

CHI Leitin, Email:

Keywords：

陈旧性胫骨平台骨折; 手术治疗

Video：

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目的:总结陈旧性胫骨平台骨折的临床特征、检查方法和手术方式。方法:回顾分析17例陈旧性胫骨平台骨折的诊断与治疗过程及预后。结果:17例获得随访。按Merchant评分标准评定:优10例,良5例,可2例,优良率88.2%。结论:术前常规X片、CT、MRI检查,关节面解剖复位,塌陷骨折复位后的植骨及坚强内固定以重建关节稳定性恢复下肢力线并早期功能锻炼是治疗成功的保证。

Citation： SUN Chuanjiang,CHI Leitin. Surgical Treatment of Old Tibial Plateau Fracture. West China Medical Journal, 2009, 24(4): 837-839. doi: Copy

1.	MERCHANT TC, DIETZ Z R. Long-term follow-up after fracture of the tibial and fibular shafts[J]. J Bone Joint Surg (Am),1989,71(4):999..
2.	WATON N P, HARISH S, ROBERTSC, et al. Ao or Scharzker How reliable is classification of tibion platean frature?[J] Arch Orthop Trauma Surg,2003,123:396..
3.	牛炜,杭忱,丁永佰,等.手术治疗胫骨平台骨折的疗效分析[J].中国骨与关节损伤杂志,2007,22(8):674-675..
4.	洪伟强,孙忠良,方克恒.胫骨平台骨折并交叉韧带撕脱骨折12例治疗体会[J].中国骨与关节损伤杂志,2004,12:849..
5.	于学钧,胥少汀,刘树青.胫骨平台骨折的分型及治疗[J].中华外科杂志,1990,28(12):79..
6.	朱力波,马金盅,贾云,等.严重胫骨平台骨折,膝关节合并症情况分析[J].中国骨与关节损伤杂志,2006,2(8):666..
7.	杨贵昌,李文进,周平.MRI在膝关节损伤诊断中的临床价值[J].中国骨与关节损伤杂志,2002,17(4):345..
8.	卢州壁主译.坎贝尔骨科手术学[M].第9版.济南:山东科学技术出版社,2001:2052..
9.	RASMUSSEN P S. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment[J]. J Bone Joint Surg Am,1973,55(7):1331-1350.

1. MERCHANT TC, DIETZ Z R. Long-term follow-up after fracture of the tibial and fibular shafts[J]. J Bone Joint Surg (Am),1989,71(4):999..
2. WATON N P, HARISH S, ROBERTSC, et al. Ao or Scharzker How reliable is classification of tibion platean frature?[J] Arch Orthop Trauma Surg,2003,123:396..
3. 牛炜,杭忱,丁永佰,等.手术治疗胫骨平台骨折的疗效分析[J].中国骨与关节损伤杂志,2007,22(8):674-675..
4. 洪伟强,孙忠良,方克恒.胫骨平台骨折并交叉韧带撕脱骨折12例治疗体会[J].中国骨与关节损伤杂志,2004,12:849..
5. 于学钧,胥少汀,刘树青.胫骨平台骨折的分型及治疗[J].中华外科杂志,1990,28(12):79..
6. 朱力波,马金盅,贾云,等.严重胫骨平台骨折,膝关节合并症情况分析[J].中国骨与关节损伤杂志,2006,2(8):666..
7. 杨贵昌,李文进,周平.MRI在膝关节损伤诊断中的临床价值[J].中国骨与关节损伤杂志,2002,17(4):345..
8. 卢州壁主译.坎贝尔骨科手术学[M].第9版.济南:山东科学技术出版社,2001:2052..
9. RASMUSSEN P S. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment[J]. J Bone Joint Surg Am,1973,55(7):1331-1350.

West China Medical Journal

Surgical Treatment of Old Tibial Plateau Fracture

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