胫骨平台骨折术后并发症  

Complications after tibia plateau fracture surgery

作　　者：卢志强[1] 杜胜利[2] 

机构地区：[1]延安大学临床医学研究生院,陕西延安716000 [2]延安大学附属医院骨科

出　　处：《中国伤残医学》2013年第4期413-414,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：高强度的胫骨平台骨折往往是由于顿挫伤引起的,同时伴有严重的软组织的损伤。固定技术需要临床医师具备熟练的手术技巧和准确的判断力。有效的外科手术并不一定总能达到良好的临床效果。手术治疗的方法包括内固定、外固定、混合固定和关节镜辅助技术。有效的高强度骨折术后管理仍然是困难的,富有挑战性的,因为术后会伴有严重的并发症,例如:关节僵硬、关节强直、深部的感染、创伤性关节炎、骨的畸形愈合和骨不连。对这些高强度胫骨平台骨折的病人及早的预防并发症的出现能够优化临床治疗效果。本文就是针对胫骨平台骨折术后的并发症做一系统的综述。High-energy tibial plateau fractures is often result of blunt trauma and is associated with severe soft-tissue injury. Fixation techniques demand considerable surgical skill and mature judgment. The available surgical options do not always guarantee a favourable outcome. Operative treatment includes internal and external fixation, hybrid fixation and arthroscopically assisted techniques. Operative management of high-energy fractures remains difficult and challenging and may be associated with serious complications, such as knee stiffness, ankylosis, deep infection, post-traumatic arthritis, malunion and nonunion. Prevention of the complications can optimise the clinical outcome in these patients. This paper is according to the fracture of tibial plateau postoperative complications do a system review.

关 键 词：胫骨平台骨折 并发症 

分 类 号：R683[医药卫生—骨科学]