• 1.攀鋼總醫(yī)院骨科,四川攀枝花 617023;2.四川省骨科醫(yī)院,四川成都 610041;

目的:總結陳舊性脛骨平臺骨折的臨床特征、檢查方法和手術方式。方法:回顧分析17例陳舊性脛骨平臺骨折的診斷與治療過程及預后。結果:17例獲得隨訪。按Merchant評分標準評定:優(yōu)10例,良5例,可2例,優(yōu)良率88.2%。結論:術前常規(guī)X片、CT、MRI檢查,關節(jié)面解剖復位,塌陷骨折復位后的植骨及堅強內固定以重建關節(jié)穩(wěn)定性恢復下肢力線并早期功能鍛煉是治療成功的保證。

引用本文： 孫川江,池雷霆. 陳舊性脛骨平臺骨折的手術治療. 華西醫(yī)學, 2009, 24(4): 837-839. doi: 復制

1. MERCHANT TC, DIETZ Z R. Long-term follow-up after fracture of the tibial and fibular shafts[J]. J Bone Joint Surg (Am),1989,71(4):999..
2. WATON N P, HARISH S, ROBERTSC, et al. Ao or Scharzker How reliable is classification of tibion platean frature?[J] Arch Orthop Trauma Surg,2003,123:396..
3. 牛煒,杭忱,丁永佰,等.手術治療脛骨平臺骨折的療效分析[J].中國骨與關節(jié)損傷雜志,2007,22(8):674-675..
4. 洪偉強,孫忠良,方克恒.脛骨平臺骨折并交叉韌帶撕脫骨折12例治療體會[J].中國骨與關節(jié)損傷雜志,2004,12:849..
5. 于學鈞,胥少汀,劉樹青.脛骨平臺骨折的分型及治療[J].中華外科雜志,1990,28(12):79..
6. 朱力波,馬金盅,賈云,等.嚴重脛骨平臺骨折,膝關節(jié)合并癥情況分析[J].中國骨與關節(jié)損傷雜志,2006,2(8):666..
7. 楊貴昌,李文進,周平.MRI在膝關節(jié)損傷診斷中的臨床價值[J].中國骨與關節(jié)損傷雜志,2002,17(4):345..
8. 盧州壁主譯.坎貝爾骨科手術學[M].第9版.濟南:山東科學技術出版社,2001:2052..
9. RASMUSSEN P S. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment[J]. J Bone Joint Surg Am,1973,55(7):1331-1350.
  1. 1. MERCHANT TC, DIETZ Z R. Long-term follow-up after fracture of the tibial and fibular shafts[J]. J Bone Joint Surg (Am),1989,71(4):999..
  2. 2. WATON N P, HARISH S, ROBERTSC, et al. Ao or Scharzker How reliable is classification of tibion platean frature?[J] Arch Orthop Trauma Surg,2003,123:396..
  3. 3. 牛煒,杭忱,丁永佰,等.手術治療脛骨平臺骨折的療效分析[J].中國骨與關節(jié)損傷雜志,2007,22(8):674-675..
  4. 4. 洪偉強,孫忠良,方克恒.脛骨平臺骨折并交叉韌帶撕脫骨折12例治療體會[J].中國骨與關節(jié)損傷雜志,2004,12:849..
  5. 5. 于學鈞,胥少汀,劉樹青.脛骨平臺骨折的分型及治療[J].中華外科雜志,1990,28(12):79..
  6. 6. 朱力波,馬金盅,賈云,等.嚴重脛骨平臺骨折,膝關節(jié)合并癥情況分析[J].中國骨與關節(jié)損傷雜志,2006,2(8):666..
  7. 7. 楊貴昌,李文進,周平.MRI在膝關節(jié)損傷診斷中的臨床價值[J].中國骨與關節(jié)損傷雜志,2002,17(4):345..
  8. 8. 盧州壁主譯.坎貝爾骨科手術學[M].第9版.濟南:山東科學技術出版社,2001:2052..
  9. 9. RASMUSSEN P S. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment[J]. J Bone Joint Surg Am,1973,55(7):1331-1350.