| 刘建强 杜晓英 谢进.开窗夯实植骨和填塞植骨治疗胫骨平台骨折临床疗效比较[J].实用中西医结合临床,2014,14(4):64-66 |
| 开窗夯实植骨和填塞植骨治疗胫骨平台骨折临床疗效比较 |
| Clinical Comparison Between Open-window with Punning Bone-Grafting and Packing Bone-grafting in Treatment of Tibial Plateau Fractures |
| |
| DOI： |
| 中文关键词: 胫骨平台骨折 人工骨 开窗夯实植骨 切开复位内固定 |
| 英文关键词: Tibial plateau fractures Artificial bone Open-window with punning bone-grafting ORIF |
| 基金项目: |
|
| 摘要点击次数: 757 |
| 全文下载次数: 278 |
| 中文摘要: |
| 目的：比较研究不同植骨方式治疗简单胫骨平台骨折的临床疗效。方法：对79例胫骨平台Schatzker分型Ⅱ型、Ⅲ型骨折行切开复位后，43例行开窗夯实植骨钢板内固定，36例行填塞植骨钢板内固定，植骨材料均采用人工骨。随访6~18个月，根据Rasmussen评分标准评价关节功能恢复情况，根据X线表现评价胫骨平台术后塌陷情况。结果：开窗植骨组术后关节功能恢复按Rasmussen评分明显优于填塞植骨组（P=0.022）。胫骨平台术后再塌陷>2 mm的患者开窗夯实植骨组有4例，占9.30%，填塞植骨组11例，占30.56%，填塞植骨组胫骨平台术后再塌陷发生时间多在术后6周内，而开窗夯实植骨组再塌陷例数少且术后早期无关节面塌陷。结论：开窗夯实植骨治疗胫骨平台Ⅱ型、Ⅲ型骨折预防平台术后关节面再塌陷较填塞植骨具有优势。 |
| 英文摘要: |
| Objective: To observe clinical effect of two different bone grafting methods in treatment of tibial plateau fractures. Method: 79 Cases of Schatzker Type Ⅱ and Ⅲ were divided into two groups, observation group (43 cases) and control group (36 cases), each case performed ORIF. The observation group were applied to open-window with punning bone-grafting method combining steel plate for internal fixation. The control group were performed packing bone-grafting method combining steel plate for internal fixation. Both group used artificial bone as grafting materials. A follow-up examination of 6 to 18 months was conducted. The condition of recovering joint function in each case were evaluate using Rasmussen scoring system and the denting conditions evaluated using X-ray imaging. Results: According to Rasmussen scores, patients in observation group witnessed better recovery than that in the control group (P=0.022). After tibial plateau operation, there were 4 cases (9.30%) in observation group witnessed bigger-than-2 mm secondary collapse and 11 cases of the same condition (30.56%) in control group. In cases of control group, the secondary collapse usually occurred 6 weeks after operation, while in the cases of observation group, the occurrences of secondary collapse were fewer and in the early period of post-operation there was no secondary collapse in joint surface. Conclusion: In the treatment of type Ⅱ and Ⅲ tibial plateau fractures, open-window with punning bone-grafting method witnessed better clinical effect than packing bone-grafting method in preventing joint surface secondary collapse. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
