杜守超;胡孙君;王欣;张世民;熊文峰;陈时益;

• 1:同济大学附属杨浦医院骨科
• 2:同济大学附属同济医院骨科

摘要(Abstract)：

[目的]探讨过伸型胫骨平台双髁骨折的临床特点及治疗策略。[方法]回顾性分析2015年1月～2018年6月采用膝关节后内侧联合前外侧入路切开复位内固定治疗的过伸型胫骨平台双髁骨折患者11例,男8例,女3例,平均年龄(58.24±6.18)岁。分析围手术期、随访与影像资料。[结果]所有患者均顺利完成手术。均无重要血管、神经损伤。随访12～27个月,平均(18.31±6.12)个月,随术后时间推移,VAS评分显著减少(P<0.05),而HSS评分及ROM显著增加(P<0.05)。末次随访时,11例患者均未见膝内外翻畸形或膝关节僵硬,可完全下蹲,无跛行。影像方面,术后11例患者骨折均达到满意复位,关节面骨块无明显移位及塌陷,平整度良好,胫骨平台后倾角恢复至(8.63±1.15)°。所有患者均获得骨性愈合,平均愈合时间(137.42±18.74) d,至末次随访时,11例患者膝关节间隙均无明显狭窄,内固定物无松动。[结论]过伸型胫骨平台双髁骨折是一种以后倾角消失或变前倾的特殊类型骨折,治疗上最主要的是恢复平台后倾角、膝关节力线和关节面平整,术中注意评估膝关节稳定性。

关键词(KeyWords)： 过伸性损伤;胫骨平台骨折;后倾角;下肢力线

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金面上项目（编号：81873989）

作者(Author): 杜守超;胡孙君;王欣;张世民;熊文峰;陈时益;

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参考文献(References)：

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