胫骨平台截骨治疗陈旧性胫骨平台骨折  

Treatment of old tibial plateau fracture with tibial plateau osteotomy

作　　者：李春明[1] 李广程[1] 王桂峰[1] 孙灵龙[1] 王伟[2] 王健[3] Li Chunming;Li Guangcheng;Wang Guifeng;Sun Linglong;Wang Wei;Wang Jian(Department of Orthopaedics,Central Hospital of Jilin City,Jilin 132000,China:Department of Orthopaedics,People's Hospital of Jilin City,Jilin 132000,China;Department of Emergency,People's Hospital of Jilin City,Jilin 132001,China)

机构地区：[1]吉林市中心医院骨科,132000 [2]吉林市人民医院骨科,132001 [3]吉林市人民医院急诊科,132001

出　　处：《中华创伤骨科杂志》2019年第5期388-391,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨胫骨平台截骨治疗陈旧性胫骨平台骨折的手术疗效。方法回顾性分析2007年3月至2018年3月吉林市中心医院骨科采用胫骨平台截骨手术治疗的18例胫骨平台陈旧性骨折患者资料。男12例,女6例;年龄19~60岁,平均41.2岁。记录骨折愈合时间、愈合率及末次随访时美国特种外科医院(HSS)膝关节功能评分。结果18例患者术后获12~36个月(平均24个月)随访。17例患者骨折获临床愈合,愈合率为94.4%。骨折愈合时间为4~16个月(平均10个月)。末次随访时HSS评分:优11例,良4例,可2例,差1例。结论采用胫骨平台截骨治疗陈旧性胫骨平台骨折是一种有效的方法。Objective To evaluate the surgical efficacy of tibial plateau osteotomy for treatment of old tibial plateau fracture.Methods From March 2007 to March 2018,18 old tibial plateau fractures were treated by tibial plateau osteotomy at the Department of Orthopedics,Central Hospital of Jilin City.They were 12 males and 6 females with a mean age of 41.2 years(from 19 to 60 years).The fracture healing time,healing rate and the Hospital for Special Surgery(HSS)score for knee function at the last follow-up were recorded.Results This series were followed up for an average of 24 months(from 12 to 36 months).Of them,17 obtained clinical healing,giving a healing rate of 94.4%.The healing time ranged from 4 to 16 months(average,10 months).By the HSS score at the last follow-up,11 cases were rated as excellent,4 as good,2 as fair and one as poor.Conclusion Tibial plateau osteotomy is an effective treatment for old tibial plateau fractures.

关 键 词：膝关节 骨折固定术 内 截骨 胫骨平台骨折 

分 类 号：R687.3[医药卫生—骨科学]