撬拨复位松质骨螺钉治疗胫骨平台骨折(Treatment of tibial plateau fracture with poking reduction and cancellous bone screws).docVIP
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撬拨复位松质骨螺钉治疗胫骨平台骨折(Treatment of tibial plateau fracture with poking reduction and cancellous bone screws)
撬拨复位松质骨螺钉治疗胫骨平台骨折(Treatment of tibial plateau fracture with poking reduction and cancellous bone screws)
Treatment of tibial plateau fracture with poking reduction and cancellous bone screws
Update Date: 2009-07-03 click:
Xie Bo, Ju Hongyun, Paul Liu, Wang Jufen
The treatment of traditional Chinese medicine osteopathy poking reduction and clinical research subject of tibial plateau fracture
For the tibial plateau fracture caused by high strength lateral load intra-articular fracture, treatment is the key to restore the smooth articular surface, to minimize the occurrence of post traumatic arthritis. Since 1993, 50 cases of tibial plateau fracture have been treated by lever reduction and cancellous bone screw fixation. The results are satisfactory. Report as follows.
1 clinical information
This group of 50 cases, 37 cases were male, 13 were female; the youngest is 19 years old, the oldest 70 years old, the average age of 38.6; 38 cases on the left side, right side in 12 cases; 39 cases of traffic accident injuries, 7 cases, 4 cases were injured by injury treatment; the shortest 1 hours, 40 hours, an average of 8.9 hours. According to the Schatzker classification of 1 type I herpes type 8 cases of fracture splitting, splitting collapse and 27 cases of type II, III type simple central collapse type in 3 cases, type IV medial malleolus fracture in 7 cases, type V with diaphyseal and metaphyseal separation platform fracture in 7 cases, type VI with diaphyseal and metaphyseal at the end of the separation plate fracture in 3 cases. The follow-up period was 1~4 years.
2 treatment
Femoral nerve and sciatic nerve block anesthesia were used to perform aseptic operation. The patient was supine. Knee and knee joint routine sterilizing towel. One assistant holds the thigh, one helps to hold the front foot, and the other to bend the knee 15 degrees. As for tibial fracture of medial malleolus, then valgus traction, tibial fractures of the lateral malleolus, varus traction combined
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