[1]魏学庆,沈国军,张桂成,等.解剖钢板固定联合中医疗法治疗胫骨平台骨折20例[J].中医正骨,2015,27(02):34-36.
点击复制

解剖钢板固定联合中医疗法治疗胫骨平台骨折20例()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年02期
页码:
34-36
栏目:
临床报道
出版日期:
2015-02-10

文章信息/Info

作者:
魏学庆沈国军张桂成赵爱军张达夫
河北省沧州市中西医结合医院,河北 沧州 061001
关键词:
胫骨平台骨折 内固定术 解剖钢板 薰洗疗法
摘要:
目的:评价解剖钢板内固定辅助中医疗法临床治疗胫骨平台骨折的疗效。方法:对采用切开复位钢板内固定辅助中医疗法 治疗的20例胫骨平台骨折的患者进行了随访,20例患者中Schatzker分型,IV 型9例,V型9例,VI型2例; 合并半月板损伤6例,前交 叉韧带胫骨止点撕脱7例,内、外侧副韧带断裂2例; 合并血管神经损伤1例。结果:20例患者均获得随访,随访时间6~10个月,中 位数8个月。采用Rasmussen评分法评定,优11例、良8例、差1例,优良率95%。结论:切开复位钢板内固定辅助中医疗法治疗胫骨 平台骨折,内固定可靠,外加中医疗法(薰洗疗法)有一定优势,是治疗胫骨平台骨折的有效方法。

参考文献/References:

[1] 朱智,杨锴.解剖钢板内固定治疗胫骨平台骨折[J].中医正骨,2007,19(8):79.
[2] 顾立强.胫骨平台骨折的分类与功能评价[J].中华创伤骨科杂志,2004,6(3):323-327.
[3] 张龙军,陈建良,郑晓东,等.有限切开内固定治疗Schatzker II、III型胫骨平台骨折[J].中医正骨,2006,18(4):20-21.
[4] Young MJ,Barrack RL.complications of internal fixation of tibial plateau fracture[J].Orthop Rev,1994,23:149-154.
[5] Watson JT,Coufal C.treatment of complex lateral plateau fracture using Ilizarov techniques[J].Clin orthop,1998,(353):97-106.
[6] Timmers TK, van der Ven DJ, de Vries LS, et al. Functional outcome after tibial plateau fracture osteosynthesis: A mean follow-up of 6years[J]. The Knee. 2014,21(6):1210-1215.
[7] Wasserstein D, Henry P, Paterson JM, et al. Risk of total knee arthroplasty after operatively treated tibial plateau fracture: a matched-population-based cohort study[J].The Journal of bone and joint surgery American volume. 2014,96(2):144-150.
[8] Nusselt T, Hofmann A, Wachtlin D, et al. CERAMENT treatment of fracture defects(CERTiFy): protocol for a prospective, multicenter, randomized study investigating the use of CERAMENT BONE VOID FILLER in tibial plateau fractures[J]. Trials,2014,15:75.
[9] Chakraverty JK, Weaver MJ, Smith RM, et al. Surgical management of tibial tubercle fractures in association with tibial plateau fractures fixed by direct wiring to a locking plate[J]. Journal of orthopaedic trauma, 2013,23(3):221-225.
[10] Yoon Y, Sim J, Kim D, et al. Combined lateral femoral epicondylar osteotomy and a submeniscal approach for the treatment of a tibial plateau fracture involving the posterolateral quadrant[J]. Injury,2015,46(2):422-446.
[11] Maheshwari J, Pandey VK, Mhaskar VA. Anterior tibial plateau fracture: An often missed injury[J]. Indian J orthop, 2014,48(5):507-510.
[12] Khoshnoodi P, Tehranzadeh AD, Dunn JM, et al. Semimembranosus tendon avulsion fracture of the posteromedial tibial plateau associated with posterior cruciate ligament tear and capsular rupture[J]. Skeletal Radiolo, 2014,43(2):239-242.
[13] Berkes MB, Little MT, Schottel PC, et al. Outcomes of Schatzker II tibial plateau fracture open reduction internal fixation using structural bone allograft[J]. J orthop Trauma,2014,28(2):97-102.
[14] 杨丽明,付瑞芸.中医综合疗法在胫骨平台骨折术后康复中的应用[J].中医正骨,2013,25(12):56-58.
[15] 梁学振,王少山.手法松解联合功能锻炼和中药薰洗治疗膝关节僵硬[J].中医正骨,2014,26(9):53-54.

备注/Memo

备注/Memo:
2014-11-06收稿 2015-01-20修回
更新日期/Last Update: 2015-02-25