Application of rafting K-wire technique for tibial plateau fractures / 中国骨伤
China Journal of Orthopaedics and Traumatology
;
(12): 1083-1085, 2015.
Artigo
em Chinês
| WPRIM
| ID: wpr-251575
ABSTRACT
<p><b>OBJECTIVE</b>To summarize application of rafting K-wires technique for tibial plateau fractures.</p><p><b>METHODS</b>From January 2013 to January 2015,45 patients with tibial plateau fractures were treated by locking plate with rafting K-wires, including 33 males and 12 females with an average of 44.2 years old ranging from 22 to 56 years old. According to Schatzker classification, 6 cases were type II, 8 were type Ill, 4 were type IV, 4 were type V, and 5 were type VI. Allogeneic bone graft were performed for bone defects. All patients were fixed with two to five K-wires. Part of weight loading were encouraged at 3 months after operation,and full weight-loading were done at 5 months after operation. Postoperative complications were observed,and Rasmussen clinical and radiological assessment were used to evaluate clinical results.</p><p><b>RESULTS</b>All Patients were followed up from 10 to 23 months with average of 14 months. According to Rasmussen clinical and radiological assessment, clinical scores 23.58 ± 6.33, radiological scores were 14.00 ± 6.33; and excellent and good rates were 82.2% and 77.8% respectively. Four patients occurred severe osteoporosis and collapse of articular surface; 5 patients occurred traumatic arthritis.</p><p><b>CONCLUSION</b>Rafting K-wires technique with anatomized armor plate could effective fix and support platform collapse and joint bone fragments, increase support surface area and reduce postoperative reduction loss rate.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Fraturas da Tíbia
/
Fios Ortopédicos
/
Fixação Interna de Fraturas
/
Métodos
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
China Journal of Orthopaedics and Traumatology
Ano de publicação:
2015
Tipo de documento:
Artigo
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