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中华临床医师杂志(电子版) ›› 2024, Vol. 18 ›› Issue (08) : 766 -772. doi: 10.3877/cma.j.issn.1674-0785.2024.08.011

临床研究

改良的内外侧环抱锁定钢板在复杂胫骨平台骨折治疗中的临床疗效观察
喻蓉1, 周伟力1,(), 雷青1, 陈松1, 陈立1, 刘峰1, 丁州1, 阳宏奇1, 王康1, 王大鹏1   
  1. 1.410015 湖南长沙,湖南省长沙市第三医院骨科
  • 收稿日期:2024-03-29 出版日期:2024-08-15
  • 通信作者: 周伟力
  • 基金资助:
    湖南省卫生健康委科研计划项目(20201554)湖南省长沙市科技局科研课题(kq1701011)

Short-term effect of surgery using a novel medial and lateral hook locking plate in treatment of complex tibial plateau fractures

Rong Yu1, WeiLi Zhou,1(), Qing Lei1, Song Chen1, Li Chen1, Feng Liu1, Zhou Ding1, Hongqi Yang1, Kang Wang1, Dapeng Wang1   

  1. 1.Department of Orthopaedics,the Third Hospital of Changsha,Changsha 410015,China
  • Received:2024-03-29 Published:2024-08-15
  • Corresponding author: WeiLi Zhou
引用本文:

喻蓉, 周伟力, 雷青, 陈松, 陈立, 刘峰, 丁州, 阳宏奇, 王康, 王大鹏. 改良的内外侧环抱锁定钢板在复杂胫骨平台骨折治疗中的临床疗效观察[J]. 中华临床医师杂志(电子版), 2024, 18(08): 766-772.

Rong Yu, WeiLi Zhou, Qing Lei, Song Chen, Li Chen, Feng Liu, Zhou Ding, Hongqi Yang, Kang Wang, Dapeng Wang. Short-term effect of surgery using a novel medial and lateral hook locking plate in treatment of complex tibial plateau fractures[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(08): 766-772.

目的

探讨内外侧环抱锁定钢板内固定治疗复杂胫骨平台骨折短期临床疗效。

方法

2017 年7 月~2019 年4 月,对10 例复杂胫骨平台骨折采用改良的内外侧环抱锁定钢板进行治疗,内侧平台骨折采用内侧环抱锁定钢板进行固定,外侧平台骨折采用外侧环抱锁定钢板进行固定。

结果

术后10 例均获随访8~12 个月,平均9.5 个月。骨折平均愈合时间为4.8 月(4~6 月),所有患者末次随访均未发现关节不稳,膝关节平均活动度为伸直0.1°,屈曲 123.5°,Oxford 评分平均为39.7,HSS 评分平均为89.3。

结论

改良的内外侧环抱锁定钢板内固定治疗复杂胫骨平台骨折能够有效完成骨折固定的同时减少医源性损伤,减少医疗支出,且疗效确切。

Objective

To evaluate the clinical outcomes of surgery using a novel medial and lateral hook locking plate in the treatment of complex tibial plateau fractures.

Methods

From July 2017 to April 2019, 10 cases of complex tibial plateau fractures were treated surgically using a novel medial and lateral hook locking plate.

Results

The 10 patients were followed for 8~12 months, with an average of 9.5 months.The mean time of union was 4.8 months (range, 4~6 months).At the last follow-up, no unstability occurred, and the mean range of motion of the knee was 0.1° in extension and flexion 123.5° in flexion.The mean Oxford score was 39.7 points, and the mean HSS score was 89.3 points.

Conclusion

Surgical treatment of complex tibial plateau fractures with the novel medial and lateral hook locking plate can not only make internal fixation more suitable in different individuals, but also reduce iatrogenic injuries and medical cost,with satisfactory clinical results.

图1 术前膝关节X 线片
图2 术前膝关节CT 成像
图3 术中膝关节照片。图a 为后内侧入路置入内侧环抱锁定钢板固定内侧胫骨平台骨折;图b 为改良前外侧入路显露外侧胫骨平台骨折;图c 为置入外侧环抱锁定钢板固定外侧胫骨平台骨折;图d 为改良前外侧入路切口照
图4 术中透视影像
图5 术后膝关节正侧位X 线片示骨折复位良好,力线恢复
图6 术后膝关节CT 成像。图a 为CT 成像正面观;图b 为CT 成像后面观;图c 为CT 成像外侧面观;图d 为CT 成像内侧面观;图e 为CT 成像上面观
表1 病例术后相关评估数据
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