双切口入路和早期康复治疗复杂双髁胫骨平台骨折：病例报告。
Double-Incision Approach and Early Rehabilitation in a Complicated Bicondylar Tibial Plateau Fracture: A Case Report.
出版信息
Med Princ Pract. 2017;26(4):387-389. doi: 10.1159/000476067. Epub 2017 Apr 26.
OBJECTIVE
The main goal of this case was to report the treatment of bicondylar fractures of the tibial plateau and the restoration of the metaphyseo-diaphyseal dissociation.
CLINICAL PRESENTATION AND INTERVENTION
A 54-year-old male who was cycling had a road accident that caused a closed fracture of the right tibial plateau and proximal fibula diagnosed by X-rays. The patient underwent surgery and was immobilized with a long-leg splint for 4 weeks. After immobilization, aggressive rehabilitation was done. Progressive quadriceps strengthening, movements to improve symmetrical weight bearing, and functional activities were performed. The patient improved muscle strength and obtained high scores for gait and balance in a relatively short time.
CONCLUSION
In this report, a bicondylar tibial fracture treated with a two-incision approach and a double-plate osteosynthesis provided strong fracture stabilization and thereby allowed an early mobilization with aggressive rehabilitation.
目的
本病例的主要目标是报告治疗胫骨平台双髁骨折和修复干骺端-骨干分离。
临床表现和干预
一名 54 岁男性骑自行车时发生道路交通事故，导致右侧胫骨平台和近端腓骨闭合性骨折，X 光片诊断为此病。患者接受了手术治疗，并用长腿夹板固定 4 周。固定后，进行了积极的康复治疗。进行了逐渐增强股四头肌力量的治疗、改善对称负重运动和功能活动。患者在相对较短的时间内提高了肌肉力量，并且在步态和平衡方面获得了高分。
结论
在本报告中，采用双切口入路和双钢板内固定治疗胫骨平台双髁骨折，提供了强大的骨折稳定性，从而允许早期进行积极的康复治疗和活动。
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