- 期刊
Tibial Plateau Fractures
脛骨平台骨折
摘要
脛骨平台骨折比例上並不少見，然文獻上對此類骨折的分類、治療及結果卻無法作統一、客觀的評估；不過，諸家都有共識：脛骨平台骨折乃關節內骨折，不論保守療法或手術治療，穩定的整復，避免或延遲因外傷而造成關節炎是主要目標。自1987年8月到1990年6月，共有30例病人在馬偕醫院台東分院接受治療並追縱至少6個月。將此類骨折分為5類，以第5類(12例)最多。10例接受保守療法，20例則手術整復；21例(70%)有令人滿意的結果。 本文顯示姑且不論保守或手術療法，必須有良好的復位，穩固的固定，和及早的復建運動，才能得到不痛且功能良好的膝關節。
關鍵字
無資料並列摘要
Thirty patients with fractures of the tibial plateau treated at Taitung Branch of Mackay Memorial Hospital from August 1987, to June 1990, have been reviewed. The fractures were grouped, according to the X-ray pattern, into five fracture types. Comminuted bicondylar fractures (Type V) were the most common type (12/30). Twenty patients were treated by open reduction and internal fixation, and 10 were treated by closed methods. Overall, 70% of the patients had a satisfactory results. Anatomic reduction, rigid fixation followed early range of motion to gain a functional, painless knee is the main goal of treatment.