胫骨平台后髁骨折分型及治疗的探讨

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1、授予单位代码10089学号或申请号20122250HebeiMedicalUniversity硕士学位论文科学学位胫骨平台后髁骨折分型及治疗的探讨研究生：马佳良导师：吴春生教授专业：外科学二级学院：第三医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公幵和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。习5

2、mil7TVif古日会胃/工河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成泉，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。,义年j月力曰目录中文摘要···········································································1英文摘要·······························································

3、············4英文缩写···········································································7研究论文胫骨平台后髁骨折分型及治疗的探讨前言···········································································8材料与方法··································································9结果·················

4、························································13附图·········································································16附表·········································································26讨论····································································

5、·····30结论·········································································34参考文献···································································34综述胫骨平台后髁骨折的研究现状·····································37致谢·····································································

6、··········45个人简历·········································································46中文摘要胫骨平台后髁骨折分型及治疗的探讨摘要目的：胫骨平台后髁骨折是一种常见的复杂型骨折类型。它属于胫骨平台骨折范畴，但又区别于一般类型的胫骨平台骨折。我们日常所见胫骨平台骨折的骨折线多为失状线，而胫骨平台后髁骨折则多为冠状线走行。普通的X线检查，很难发现该处骨折，故经常导致这一骨折的漏诊或误［1-2］诊。随着医学科技的不断进步，三维CT及MRI广泛应用于骨折检查，该处骨折越来越

7、多的被广大临床医师发现。由于该骨折线位处膝关节后侧，对膝关节的稳定性起着至关重要的作用，其骨折恢复情况直接影响着膝关节的功能，故该处骨折以成为骨外科学界越来越重视的骨折类型。我们在这里对本院收治的胫骨平台后髁骨折患者给予回顾性分析，其目的主要是着眼于当前临床骨科医师普遍关心的两大问题进行研究：一是关于胫骨平台后髁骨折的分型，二是关于这一骨折类型的手术治疗。在明确定义骨折特点、性质、部位的分型基础上，制定出针对这一骨折的最佳手术治疗方案。方法：选取自2011年3月至2014年7月期间于河北医科大学第三附属医院行住院治疗的累及胫骨平台后侧髁的骨折患者，除外保守治

8、疗、不能耐受手术治疗、急诊手术治疗、失访等多因素的患