锁定加压钢板治疗不稳定型或骨质疏松性胫骨平台骨折  

Internal fixation of the unstable fractures or fractures with osteoporosis of the tibial plateau with locking compression plate

作　　者：熊超[1] 王永清[1] 陈洪卫[1] 

机构地区：[1]天津市第四中心医院骨科,天津300140

出　　处：《中日友好医院学报》2008年第4期217-219,F0003,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的:总结应用锁定加压钢板(LCP)治疗不稳定型或骨质疏松性胫骨平台骨折的临床疗效。方法:2005年12月～2007年4月对16例不稳定型或骨质疏松性胫骨平台骨折行切开复位LCP内固定术,骨折类型按Schatzker分型,其中Ⅲ型6例,Ⅳ型5例,Ⅴ型4例,Ⅵ型1例,骨缺损者同时予以植骨,术后早期功能锻炼。结果:术后随访7～15个月,平均10个月,所有患者均获得骨性愈合。依据Sanders膝关节评分标准评定结果:优14例,良2例,无并发症发生。结论:LCP治疗胫骨平台骨折临床疗效满意,尤其对于不稳定型以及骨质疏松性胫骨平台骨折,能够牢固维持复位,有利于患肢早期功能锻炼。Objective：To summarize the clinical outcomes of fixation of the unstable fractures or fractures with osteoporosis of the tibial plateau using locking compression plate （LCP）.Methods：Sixteen cases of unstable fractures or fractures with osteoporosis of the tibial plateau were treated with open reduction and internal fixation with LCP from December 2005 to April 2007.According to Schatzker classification,6 cases were type Ⅲ ,5 cases type Ⅳ ,4 cases type Ⅴ and 1 cases type Ⅵ.The defective fractures were treated with allograft implantation,and got early functional exercises postoperatively.Results：All the patients were followed up for 7 to 15 months（an average of 10 months）,obtained satisfactory curative effect.The clinical outcomes were evaluated according to Sanders grading.Fourteen cases were graded as excellent and 2 as good.No complication was found.The overall satisfactory rate was 100%.Conclusion：LCP has been proven as a safe and effective implant for treatment of fractures of the tibial plateau because it is especially suitable for patients with osteoporosis and unstable fractures of the tibial plateau,in that it can firmly hold the defective fracture segments and facilitate early postoperative rehabilitation.

关 键 词：胫骨平台 内固定 锁定加压钢板 骨折 

分 类 号：R687.3[医药卫生—骨科学]