Strip nail internal fixation with bone graft for the treatment of tibial plateau fracture / 中国骨伤
China Journal of Orthopaedics and Traumatology
;
(12): 1102-1105, 2015.
Article
in Chinese
| WPRIM
| ID: wpr-251570
ABSTRACT
<p><b>OBJECTIVE</b>To investigate surgical outcomes of strip nail internal fixation with bone graft in treating tibial plateau fracture.</p><p><b>METHODS</b>From May 2012 to May 2014,36 patients with tibial plateau fracture were retrospectively analyzed, including 25 males and 11 females with an average age of 43.5 (ranged from 17 to 65) years old. The time from injury to operation ranged from 3 to 10 days with an average of 5.8 days. All patients were treated with L-shaped and T-shaped strip nail internal fixation with bone graft. It was evaluated by the Knee Functional therapy assessment method of the Special Surgical Hospital of American at final following-up. Varus angle, caster angle and femorotibial angle were recorded and compared at 3 days and 1 year.</p><p><b>RESULTS</b>Operative time was (2.2 ± 0.6) h on average, blood loss was (310.5 ± 36.2) ml on average, hospital stay was (14.8 ± 2.7) days on average. Thirty-six patients were followed up from 12 to 30 months with an average of 18.2 months. Fracture healing time ranged from 4 to 8 months with an average of 6.2 months. The difference is not significant among varus angle, caster angle and femorotibial angle at 3 days and 1 year. According to the knee functional therapy assessment method of the Specialized Surgical Hospital of American, 18 cases got excellent results, 13 good, 4 moderate and 1 poor.</p><p><b>CONCLUSION</b>Strip nail internal fixation with bone graft for the treatment of tibial plateau fracture could effectively prevent the joint surface from secondary collapse, and achieve anatomic reduction, stable fixation and earlier functional exercise in further to get satisfied clinical effects.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Tibial Fractures
/
Bone Nails
/
Retrospective Studies
/
Bone Transplantation
/
Fracture Healing
/
Fracture Fixation, Internal
/
Methods
Type of study:
Observational study
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
China Journal of Orthopaedics and Traumatology
Year:
2015
Type:
Article
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