陈旧性内侧胫骨平台塌陷骨折合并后外侧复合体损伤的治疗
姚军;韦东磊;冯文宇;陈超;韦苏怡;刘菊英;韦庆军;
摘要(Abstract)：
[目的]探讨陈旧性内侧胫骨平台塌陷骨折合并后外侧复合体损伤的临床治疗效果。[方法]随访本院2014年1月～2017年12月诊治的内侧胫骨平台塌陷骨折合并后外侧复合体损伤7例患者,男5例,女2例;左膝4例,右膝3例;受伤至手术时间(57.32±6.74) d;6例为交通事故损伤,1例为运动损伤;根据Fanelli分型:B型1例,C型6例。所有患者均行内侧胫骨平台下撑开截骨,取髂骨植骨,联合后外侧复合体重建术。[结果]术后患者未出现切口感染,步态正常,下肢力线无内翻,胫骨外旋试验(Dial-test)较健侧对比均<10°(术前均>10°);术后Lysholm评分(83.00±3.79)分,与术前比较差异有统计学意义;所有患者均获得随访,随访时间9～27个月,术前改善至D级,术后改善至A级4例,B级3例,患肢功能均获得明显改善。[结论]内侧胫骨平台塌陷骨折的复位是维持下肢力线的重要因素,应早期切开复位内固定,同时后外侧复合体是膝关节稳定系统的重要组成部分,修复重建可获得满意的疗效。
关键词(KeyWords)： 后外侧复合体;胫骨平台骨折;对角线损伤;运动损伤
基金项目(Foundation):
作者(Author): 姚军;韦东磊;冯文宇;陈超;韦苏怡;刘菊英;韦庆军;
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参考文献(References)：
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