The posterolateral shearing tibial plateau fracture: Treatment and results via a modified posterolateral approach

被引：77

作者：

Tao, Jie ^{[1
]}

Hang, Dong-hua ^{[1
]}

Wang, Qiu-gen ^{[1
]}

Gao, Wei ^{[1
]}

Zhu, Li-bo ^{[1
]}

Wu, Xiao-feng ^{[1
]}

Gao, Kan-da ^{[1
]}

机构：

[1] Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 1, Dept Orthoped Surg, Shanghai 200080, Peoples R China

来源：

KNEE | 2008年 / 15卷 / 06期

关键词：

Shearing fracture; Posterolateral approach; Tibial plateau; Functional outcome;

D O I：

10.1016/j.knee.2008.07.004

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The posterolateral shearing tibial plateau fracture is relatively uncommon and few Studies have concentrated on it so far. The purpose of this study was to review the results of surgical treatment of this kind of fracture using a modified posterolateral approach. The clinical results of a case series of 11 patients, collected prospectively, were presented here. At final follow-up 10 Out of 11 (91%) patients had satisfactory reduction of the articular surface and all had acceptable alignment. There was neither any loss in reduction or alignment at one year postoperation, with a mean HSS score of 93 (s.d. 3.67, range 84 to 97), nor superficial or deep infections, except that one case had a sanguinous effusion for more than one week postoperatively. It was concluded that the modified posterolateral approach could help to expand the surgical options for ail optimal treatment of this kind of fracture, and plating of posterolateral shearing fractures Would result in restoration and maintenance of alignment. (C) 2008 Elsevier B.V. All rights reserved.

引用

页码：473 / 479

页数：7

共 17 条

[1]

Bhattacharyya T, 2005, J ORTHOP TRAUMA, V19, P305

[2] Posterior bicondylar tibial plateau fractures [J].