Treatment of complex tibial plateau fractures with bilateral locking plate and bone graft / 中国骨伤
China Journal of Orthopaedics and Traumatology
;
(12): 557-560, 2012.
Artículo
en Chino
| WPRIM
| ID: wpr-321822
ABSTRACT
<p><b>OBJECTIVE</b>To explore the effective methods for the treatment of complex tibial plateau fractures.</p><p><b>METHODS</b>From May 2008 to April 2011, 28 patients with complex tibial plateau fractures were treated indirect reduction techniques, bilateral locking plate fixation combined with autologous bone grafts. There were 21 males and 7 females, with an average age of 43 years ranging from 21 to 65. There were 11 cases in Schatzker type V, 17 in VI. The effect was evaluated by Rasmussen standard on clinical and radiological.</p><p><b>RESULTS</b>All patients were followed-up for 7 to 36 months (averaged of 21.5 months). Healing time of fracture was from 3 to 8 months (averaged 5.5 months). The results of Rasmussen scores in clinical was 4.50 +/- 1.32 in pain, 4.32 +/- 1.63 in walking ability, 4.07 +/- 1.34 in knee activity, 4.78 +/- 1.27 in stability of the knee, 4.85 +/- 1.12 in stretch knee; the results in radiation was 5.07 +/- 0.92 in articular surface collapse, 5.00 +/- 0.98 in platform widened, 5.14 +/- 0.85 in knee external varus. The effect result was excellent in 8 cases, good in 15, fair in 3 and poor in 2.</p><p><b>CONCLUSION</b>The key for the treatment of complex tibial plateau fractures was to fully assess the damage as much as possible to protect the soft tissue, select the appropriate timing of surgery and surgical incision, application of indirect reduction techniques, limited incision and effective internal fixation to restore joint surface smooth and good limb alignment, early exercise, in order to achieve maximum recovery of joint function.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cirugía General
/
Fracturas de la Tibia
/
Placas Óseas
/
Diagnóstico por Imagen
/
Tomografía Computarizada por Rayos X
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Trasplante Óseo
/
Resultado del Tratamiento
/
Recuperación de la Función
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
China Journal of Orthopaedics and Traumatology
Año:
2012
Tipo del documento:
Artículo
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