撬拨复位加双侧外固定器治疗胫骨平台骨折  

Percutaneous Reduction and Stabilization of Complex Tibial Plateau Fractures

作　　者：刘国平[1] 杜靖远[1] 陈汝轻[1] 

机构地区：[1]同济医科大学附属协和医院骨科

出　　处：《中国矫形外科杂志》1997年第4期269-271,共3页Orthopedic Journal of China

基　　金：武汉市科委科研基金

摘　　要：作者采用机械牵引、撬拨复位加双侧钩槽式外固定器（ＢＧＥＦ）治疗２３例胫骨平台劈裂和塌陷骨折。ＢＧＥＦ由２个槽式架和３～５枚钩式螺栓、螺母和斯氏针构成，除固定针眼外不做皮肤切口，手术创伤小，术后关节早活动，晚负重，除２例针眼感染外，无其它并发症发生，２３例患者术后２～３月愈合，膝关节屈伸活动范围正常。Mechanical traction and percutaneous reduction by leverage and fixation with a bilateral groove external fixator (BGEF) were performed on 23 patients with complex tibial plateau fractures involving a depressed and split fragments.The fixator was composed of two long groove frames,three to five nuts,hooked bolts and Steinmanns pins.All fractures united in good position in two months with no incision (only pinpricks),little operative trauma and no significant complications.The flexion extension range of knee movement was very good in all patients,so this technique is particularly advisable for complex tibial plateau fractures.

关 键 词：胫骨平台骨折 骨外固定器 治疗 

分 类 号：R683.420.5[医药卫生—骨科学]