Ali Ahmad M, Burton Maria, Hashmi Munawar, Saleh Michael
Sheffield Teaching Hospitals NHS Trust, Sheffield, England.
J Bone Joint Surg Br. 2003 Jul;85(5):691-9.
Fine-wire external fixation is accepted as a minimally invasive technique, which can provide better outcomes than traditional open methods in the management of complex fractures of the tibial plateau. Available fixators vary in their biomechanical stability, and we believe that a stable beam-loading system is essential for consistently good outcomes. We assessed, prospectively, the clinical, radiological and general health status of 20 of 21 consecutive patients with complex fractures of the tibial plateau who had been treated using a standard protocol, with percutaneous screw fixation and a neutralisation concept with a fine wire beam-loading fixator allowing early weight-bearing. Bony union was achieved in all patients, with 85% having good or excellent results. Full weight-bearing started during the first six weeks in 60% of patients. The general health status assessment correlated well with the knee scores and reflected a satisfactory outcome.
细钢丝外固定被认为是一种微创技术，在处理复杂的胫骨平台骨折时，它能比传统的开放方法取得更好的效果。现有的固定器在生物力学稳定性方面各不相同，我们认为稳定的梁加载系统对于持续获得良好的治疗效果至关重要。我们前瞻性地评估了21例连续的复杂胫骨平台骨折患者中的20例，这些患者采用了标准方案进行治疗，即经皮螺钉固定，并采用细钢丝梁加载固定器的中和概念，允许早期负重。所有患者均实现了骨愈合，85%的患者结果为良好或优秀。60%的患者在最初六周内开始完全负重。总体健康状况评估与膝关节评分密切相关，反映出令人满意的治疗效果。
