胫骨平台骨折52例临床分析

目的 比较胫骨平台骨折的几种治疗方法，选择治疗胫骨平台骨折的最佳方案。方法 本组总结胫骨平台骨折52例，按A0分型和塌陷程度分为B、C两种类型。B1、B2型骨折主要采用手法整复骨牵引或石膏外固定；B3、C1型骨折主要采用撬拨复位，植骨后采用松质骨螺钉固定；C2、C3型骨折主要采用坚强固定。结果 52例胫骨平台骨折获得随访47例，膝关节功能恢复按关节功能、活动范围、膝关节轴线、关节稳定性及骨折复位综合评定，膝关节功能优良41例(87.24％)，可及差6例(12.76％)。结论 胫骨平台骨折的治疗应以关节面损伤程度为中心，选择恰当的治疗方案，早期膝关节功能练习能够获得满意的治疗效果。

Clinical analysis of the treatment of 52 tibial plateau fractures

Objective To compare the therapeutic effects of several trea tments of the tibial plateau fracture. Methods According to AO classification an d their depressed degrees,52 cases of tibial plateau fractures were classified into types B and types C. Types B1 and B2 were treated with manipulative tractio n and bone traction or cast external fixation; Types B3 and C1 with bone graft a nd screw fixation after reduction operation; Types C2 and C3 with fixation by pl ates. 47 cases were followed up for 6 to 48 months. Results In 41 cases the reco very of knee function was excellent (87.24%), whereas the recovery was poor in 6 cases (12.76%).Conclusion The joint surface should be the focus of attention and care in the treatment of the tibial plateau fracture and a satisfactory ther apeutic result could be attained by early post-surgical exercise.