SchatzkerⅣ～Ⅵ型胫骨平台骨折的手术治疗  

Operative Treatment on Tibial Plateau(Schatzker Ⅳ～Ⅵ type) Fracture

作　　者：毕刚[1] 王家骐[1] 王树青[1] 

机构地区：[1]同济大学附属同济医院骨科,上海200065

出　　处：《同济大学学报（医学版）》2006年第5期49-50,61,共3页Journal of Tongji University(Medical Science)

摘　　要：目的 探讨提高SchatzkerⅣ～Ⅵ型胫骨平台骨折疗效的相关因素。方法 2002年1月-2004年12月对36例SchatzkerⅣ～Ⅵ型胫骨平台骨折术前均行CT超薄层平扫和三维重建，伤后5～14dCT三维重建图像指导下选择切口、复位，植骨、解剖钢板内固定，术后强调康复训练。结果 本组34例骨折伤口Ⅰ／甲愈合，平均住院19．5d。36例骨折中30例得到12个月以上的随访，膝关节功能总优良率86．7％。结论 在高能量胫骨平台骨折治疗中，术前CT三维重建；合适的手术时机和切口；解剖复位；植骨和坚强的内固定以及正确的康复训练是提高SchatzkerⅣ～Ⅵ型胫骨平台骨折疗效的重要因素。Objective To study the related factors on which can improve therapeutic effects on fractures of tibial plateau （Schatzker Ⅳ～Ⅵ type）. Methods The study covered 36 patients with a fracture of tibial plateau （SchatzkerⅣ～Ⅵ type） from January 2004 to December 2004. All patients were checked by ultra-thin sectional anatomy and computerized three-dimensional reconstruction technology. Incisions, reductions, bone transplantations and internal fixation by anatomical plates were selected according to CT 3D reconstruction after five to fourteen days＇ injury. Rehabilitation training were emphasized after operation. Results Ⅰ/first incision healing was found in 34 fractures. 30 of 36 patients had been followed up for at least 12 months. The effective rate was 86.7 %. Conclusion CT 3D reconstruction, suitable operation time and incisions, anatomical reduction, bone transplantation, rigid internal fixation and right rehabilitation training are all key factors which improve the therapeutic effects on tibial plateau （SchatzkerⅣ～Ⅵ type） fracture.

关 键 词：胫骨平台骨折 CT三维重建 治疗 植骨 内固定 

分 类 号：R683.42[医药卫生—骨科学]