双切口双锁定钢板治疗复杂型胫骨平台骨折

目的探讨双切口双锁定钢板治疗SchatzkerⅤ、Ⅵ型复杂胫骨平台骨折的方法与临床疗效。方法对59例复杂胫骨平台骨折进行随访和回顾性分析。患者均行切开复位,双切口双锁定接骨板内固定,骨缺损者植以自体髂骨,对不同类型软组织损伤同时采取相应的处理方法。结果术后随访59例,随访时间6~24个月,平均15个月,59例骨折均获得骨性愈合,所有患者均恢复了患肢的正常力线,患肢稳定。结论该方法手术时间短,利于患者早期CPM锻炼,有利于膝关节功能恢复,临床疗效较好。

Clinical treatment of complex tibial plateau fractures with double-incision and double-LCP fixation

Objective To explore the clinical effect of complex tibial plateau fracture with double-incision and double-LCP treatment.Methods 59 cases of complex tibial plateau fractures were followed-up and reviewed.Patients underwent open reduction and double-LCP fixation,bone defects with autogenous iliac bone grafting,different type of soft tissue injuries as well as the appropriate treatment methord.Results 59 patients were followed-up for 6 to 24 months,an average of 15 months,the fractures were healed,all patien...