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首页> 外文期刊>European journal of medical research. >Functional and radiological evaluations of high-energy tibial plateau fractures treated with double-buttress plate fixation.
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Functional and radiological evaluations of high-energy tibial plateau fractures treated with double-buttress plate fixation.

机译:经双支撑钢板固定治疗高能胫骨平台骨折的功能和放射学评估。

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摘要

OBJECTIVE: This study was designed to evaluate the functional and radiological outcomes of patients with complex tibial plateau fractures treated with double-buttress plate fixation. METHODS: Sixty five cases of complex (Schatzker type V and VI) tibial plateau fractures were treated with double-buttress plate fixation in our centre from September 2001 to September 2006 through two separate plate incisions. Fifty four patients were followed up for a period ranging from 12 to 48 months and evaluated for the functional and radiological outcomes by a series of standard questionnaire and measurement. RESULTS: Due to the good exposure without any extensive soft-tissue dissection of the double-buttress plate fixation, the fractures in all 54 patients were healed and the treatment achieved greater than 90% of satisfactory-to-excellent rates of reduction. The mean time of bone union was 15.4 weeks (range, 12-30 weeks), and the mean time of full weight-bearing was 18.7 weeks (range, 14-26 weeks). At the final follow-up visit, no patients showed knee instability; the mean range of motion was 107.6 degrees (range, 85 degrees -130 degrees ). For all patients, no statistically significant difference in the functional outcomes was observed between their 6-months and final follow-up visits; or in the radiological findings between their immediate postoperative and final follow-up examinations. CONCLUSION: Double-buttress plate fixation is a feasible treatment option for bilcondylar and complex tibial plateau fractures. Although technically demanding, it offers reliable stability without additional postoperative adjuvant external fixation, and at the same time avoids extensive soft tissue dissection, allowing the early painless range of motion.
机译:目的:本研究旨在评估经双支撑钢板固定治疗的复杂胫骨平台骨折患者的功能和影像学结果。方法:2001年9月至2006年9月,我们通过两次单独的钢板切口在我中心采用双支撑钢板固定治疗了65例复杂的(Schatzker V和VI型)胫骨平台骨折。对54例患者进行了为期12至48个月的随访,并通过一系列标准问卷和测量评估了其功能和放射学结果。结果:由于良好的暴露,没有对双支撑板进行任何广泛的软组织解剖,所有54例患者的骨折均得到了he愈,治疗率达到了令人满意的90%以上。骨结合的平均时间为15.4周(范围12-30周),平均负重的平均时间为18.7周(范围14-26周)。在最后的随访中,没有患者表现出膝关节不稳。平均运动范围为107.6度(范围85度-130度)。对于所有患者,在他们的6个月与最终随访之间,在功能结局上均未观察到统计学上的显着差异。或在术后立即检查和最终随访检查之间的放射学发现中。结论:双支钢板固定术是治疗con突和复杂胫骨平台骨折的可行选择。尽管在技术上要求很高,但它提供了可靠的稳定性,而无需额外的术后辅助外固定,同时避免了广泛的软组织剥离,从而使早期的无痛运动成为可能。

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