胫骨平台骨折的治疗  

Treatment of tibial plateau fracture

作　　者：石永常[1] 俞强[1] 王宝[1] 

机构地区：[1]首都医科大学附属北京天坛医院骨科,邮政编码100050

出　　处：《北京医学》2001年第6期341-343,共3页Beijing Medical Journal

摘　　要：目的　探讨胫骨平台骨折的治疗效果。方法　 1 987～ 1 997年共治疗胫骨平台骨折 2 7例 ,获得平均4.8年随访。分析治疗后股胫角 ( FTA)、关节面复位、早期免负重膝关节功能锻炼对恢复膝关节功能的临床意义。结果　根据 Hohl膝关节功能评定方法评定 ,优良率 92 .6%。治疗后关节面复位满意与稍差之间对膝关节功能恢复无显著性差异 ( P>0 .0 5)。FTA对膝关节功能恢复有非常显著性差异 ( P<0 .0 1 )。结论　理想复位、可靠的固定、早期免负重膝关节功能锻炼 ,能够避免负重后畸形和骨关节炎的发生 ,是膝关节功能恢复的关键。Objective To study the effect in the treatment of tibial plateau fractures.Methods To analysis the recovery of knee joint function in femoral tibial angle (FTA) arthrosface reduction?knee joint function training of early avoiding burden in the follow up of auerage 4.8 years from 1987 to 1997.Results According to Hohl knee function estimate,the rate of excellent and good rusult was 92.6%.There was no difference between better and good arthrosface reduction after therapy ( P >0.05).FTA of knee joint had significant recovery ( P <0.01).Conclusions Satisfied reduction safe fixed?avoiding early burden in knee joint training could avoid the deformity and osteoarthritis after burden,and therefore were the key in knee joint functional recovery.

关 键 词：胫骨平台骨折 治疗 手术指征 膝关节功能 

分 类 号：R683.42[医药卫生—骨科学]