手术治疗胫骨平台骨折的临床观察

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1、·提要目的：探讨胫骨平台骨折的手术治疗方法，提高胫骨平台骨折的治愈率。方法：本研究病例来自山东中医药大学附属医院骨科病房自2003年7月至2008年3月收治的124例胫骨平台骨折患者。年龄17～79岁，平均41.7岁，其中男77例，女47例，左侧66例，右侧58例。术前进行临床及影像学评估，尤其是软组织损伤程度的评估，确定手术的时机；进行手术治疗，术中应注意切口的选择，软组织的保护，固定方式的选择；术后指导患者进行系统的康复训练以及采取必要的措施预防并发症的发生。术后1年应用Lysholm膝关节运动伤病评分表进

2、行评分，观察疗效。结果：124例患者，优66例，良39例，可11例，差8例，优良率为84.7%。结论：胫骨平台骨折宜手术治疗；术前要充分评估骨折和合并损伤情况，选择合理的手术和固定方式；合并损伤的处理和骨折的处理同样重要；术后功能训练对关节功能恢复尤为重要。关键词骨折；胫骨平台；手术治疗···ClinicalObservationofSurgicalTreatmentforTibialPlateauFractureSpeciality:OrthopaedicsofTCMAuthor:XuHonghaoTutor

3、:Prof.BiRongxiuAbstractObjective:Toresearchsurgicaltreatmentfortibialplateaufracture,improvethecurerate.Methods:FromJul2003toOct2008,124patientsweretreatedsurgicaltreatmentbyinShandongUniversityofTCMAffilliatedHospitalOrthopaedicsPatients'Rooms.Therewere77ca

4、sesmaleand47casesfemaleagingfrom17to79(mean41.7).66operationswereatleftkneesand58wereatrightknees.Preoperativeclinicalandimagingstudytoassess,inparticulartheextentofsofttissueinjuryassessment,todeterminethetimingofsurgery.Surgery,makeattentionofthechoiceofin

5、traoperativeincision,softtissueprotection,thechoiceoffixationmethods.Guidepatientstodopostoperativerehabilitationtraining,aswellastakethenecessarymeasurestopreventcomplications.Allthepatientswerefollowedupfor1year.ApplicationLysholmkneescoretablesportsinjury

6、score,observedeffect.Results:124caseswerefollowedup,excellentin66,goodin39,fairin11,andpoorin8,84.7%excellentorgoodresultswereobtained.Conclusion:Tibialplateaufractureshouldbetreatedsurgically.Tofullyassessthepre-operativefractureandcombinedinjuries,choosear

7、easonablewayofoperationandfixed.Themergerdealwithinjuryandfracturesofthetreatmentisequallyimportant.Postoperativefunctionaltrainingontherestorationofjointfunctionisparticularlyimportant.Keywordsfracture;tibialplateaufracture;surgicaltreatment···目录引言.........

8、......................................................................................................................1临床研究.......................................................................