有限切开复位内固定治疗Schatzker Ⅰ～Ⅲ型胫骨平台骨折的临床分析  

The treatment of Schatzker Ⅰ～Ⅲ tibial plateau fracture with limited open reduction and internal fixation surgical technique

作　　者：徐军 周静 张成 孙学斌[2] 

机构地区：[1]新疆民航医院外科,乌鲁木齐830016 [2]新疆医科大学第一附属医院骨病运动损伤科,乌鲁木齐830054

出　　处：《新疆医科大学学报》2012年第8期1082-1084,1088,共4页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区自然科学基金项目(2011211A077)

摘　　要：目的评价有限切开复位内固定术治疗Schatzker Ⅰ～Ⅲ型胫骨平台骨折的临床疗效。方法选择2005年1月-2011年1月新疆民航医院外科收治的Schatzker Ⅰ～Ⅲ型胫骨平台骨折患者23例,其中Ⅰ型6例,Ⅱ型11例,Ⅲ型6例,均行有限切开复位内固定术并进行随访,采用HSS膝关节功能评分及Rasmussen放射学评分,评价术后关节功能恢复情况。结果 23例患者均获得随访,平均随访时间18个月,按照HSS膝关节功能评分:优16例(69.56%),良5例(21.74%),可2例(8.69%),优良率为91.31%;按照Rasmussen放射学评分:优14例(60.87%),良6例(26.09%),可3例(13.04%),优良率为86.96%。结论有限切开复位内固定治疗Schatzk-er Ⅰ～Ⅲ型胫骨平台骨折疗效确切、可靠。Objective To investigate the clinical effects of treatment of tibial plateau fractures with limited open reduction and internal fixation surgical technique.Methods 23 cases with tibia plateau fractures,which were 6 cases of type Ⅰ,11 case of type Ⅱ,6 cases of type Ⅲ,according to the Schatzker classification,from January 2005 to January 2011 in Xinjiang Airport Hospital department of Surgery,underwent the limited open reduction and internal fixation surgical technique.The curative effectiveness was evaluated by Special Surgery（HSS） knee score and the Rasmussen radiologic score.Results HSS knee score showed： excellent 16（69.56%）,good 5（21.74%）,fair 2（6.4%）,a fineness rate of 91.31%;Rasmussen radiologic score showed excellent 14（60.87%）,good 6（26.09%）,fair 3（13.04%）,a fineness rate of 91.31%.Conclusion Limited open reduction and internal fixation surgical technique is an effective and reliable in treating low-energy tibial plateau fractures.

关 键 词：胫骨平台骨折 有限切开 内固定 

分 类 号：R683.4[医药卫生—骨科学]