自体髂骨重建胫骨平台在胫骨外侧平台粉碎性骨折中的应用

目的：采用自体髂骨移植修复重建胫骨平台骨折中骨软骨面的大量缺损，并评价其术后临床结果。方法：对胫骨外侧平台粉碎性骨折中因骨软骨严重碎裂、塌陷而无法复位固定所造成的胫骨平台缺损，用自体髂骨移植的方法予以修复重建。结果：术后经过12个月～5年的随访，平均24个月，按膝关节功能评定标准评分为75～100分，平均85.2分。结论：移植物为髂骨，其供区创伤小，无明显的并发症；受区植入方便，容易固定。可以用来重建胫骨平台。

Application of autologous grafting of the ilium for reconstruction of the lateral tibial plateau comminuted fracture

Objective:[To take autograft of ilium to repair the large defect of bony cartilage in tibial plateau fracture and to evaluate its postoperative effect.Methods:[For the tibial platean defect from severe breakage and collapse that could not be reduced and fixed,autograft of the ilium was taken to repair and reconstruct them.Results:[After following up for 12 months to 5 years(average in 24 months),the knees were scored 75 to 100 according to the funcitional criteria(average in 85 2).Conclusion:[This method has satisfactory clinical effect.The donor area of autograft is with minimal trauma,no obvious complication,and there is convinence of implantation and easy fixation. [