胫骨平台骨折.ppt

《胫骨平台骨折.ppt》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、胫骨平台骨折的分型及早期康复治疗TibialPlateauFractures汇报人：侯欢目录contents定义与流行病学DefinitionsandEpidemiology胫骨平台骨折的分型Classification手术入路OperativeApproach并发症Complication术后早期康复PostoperativeRehabilitationPart01Part02Part03Part04Part0501定义与流行病学DefinitionsandEpidemiology01.定义与流行病学DefinitionsandEpide

2、miologyALL:1%ELDERLY:8%01.定义与流行病学10%~23%Medial55%~70%Lateral10%~30%BicondylarDefinitionsandEpidemiology01.定义与流行病学DefinitionsandEpidemiology胫骨平台骨折的分型Classification0202.胫骨平台骨折的分型ClassificationSchatzkerClassificationAO/OTAThreeColumnClassificationHohl-MooreClassification02.胫骨

3、平台骨折的分型SchatzkerClassificationⅠLateralplateaufracturewithoutarticulardepressionⅡLateralplateaufracturewitharticulardepressionⅢIsolatedareasoflateralplateaudepressionⅣMedialplateaufractureⅤBicondylarⅥBicondylar&TibialshaftClassification02.胫骨平台骨折的分型ThreeColumnClassificationC

4、lassificationADVANTAGE①CTreconstructionimagesandthree-dimensionalreconstructionimages②Appropriatesurgicalstrategies③Damagemechanism④Medialplateaufracture⑤Highaccuracyandreliability02.胫骨平台骨折的分型Classification零柱骨折：损伤机制为伸膝或屈膝时轻度的内翻或外翻暴力。内侧柱骨折：损伤机制为伸膝时内翻暴力。外侧柱骨折：损伤机制为伸膝时外翻暴力。后侧

5、柱骨折：损伤机制为屈膝时垂直暴力或内、外翻暴力。双柱骨折（内侧+外侧）：损伤机制为伸膝时垂直暴力。双柱骨折（内侧+后侧）：损伤机制为屈膝时内翻暴力。双柱骨折（外侧+后侧）：损伤机制为屈膝时外翻暴力。三柱骨折：损伤机制复杂，可以是伸膝损伤，也可以是屈膝损伤，往往垂直暴力较大。可伴有内、外翻暴力。ThreeColumnClassification02.胫骨平台骨折的分型ClassificationFourColumnClassification手术入路OperativeApproach0303.手术入路OperativeApproachIndi

6、cationforsurgeryMedicalcondylefracturewithanydisp.Lateralcondylefracture>5degreedisp.Bicondylarfractureswithaxialdisp.Anymedialtilt.Orvalgustilt>5degreeArticularincongruity>3mmCondylerwidening>5mm03.手术入路OperativeApproach03.手术入路OperativeApproach03.手术入路OperativeApproach03.手术

7、入路OperativeApproach并发症Complication0404.并发症ComplicationDecreasedROMDegenerativearthritisAngulardeformityofkneeAssociatedligamentousinjuriesNeurovascularcompromiseearlyandlate(compartmentsyndrome)术后康复PostoperativeRehabilitation0505.术后康复PostoperativeRehabilitation05.术后康复Posto

8、perativeRehabilitation05.术后康复PostoperativeRehabilitation05.术后康复PostoperativeRehabilitatio