Jain R
Department of Orthopaedics, Sanjay Gandhi Memorial Hospital, New Delhi, India.
Malays Orthop J. 2016 Nov;10(3):12-16. doi: 10.5704/MOJ.1611.007.
Tibial plateau injury involves the articular surface of the proximal tibia with diverse group of fractures that represent a wide spectrum of severity that challenge even the most experienced surgeons, but with the invent of modern diagnostic technology and the advent of locking plates, results appear to be improving over time. The study was conducted on thirty patients admitted in the department of orthopaedics with diagnoses of tibial plateau fractures treated with Locking Condylar Plate. The patients were followed up for a minimum period of six months and clinico-radiological progression of fracture union with the functional outcome was studied using 100 point rating system devised by Delamarter . Twenty-two patients showed excellent results while eight patients had good to fair and none with poor result. The average time for radiological union was 17.5 weeks. The results of the study concluded that while locking condylar plate seems to show excellent results in low energy tibial plateau fractures, it can probably be used to successfully treat patients with high energy fracture patterns without the need for additional medial stabilization.
胫骨平台损伤累及胫骨近端的关节面，骨折类型多样，严重程度不一，即便对经验最为丰富的外科医生而言也是挑战。但随着现代诊断技术的发明以及锁定钢板的出现，治疗结果似乎正随着时间推移而改善。本研究针对30例因诊断为胫骨平台骨折而入住骨科并接受锁定髁钢板治疗的患者展开。对患者进行了至少6个月的随访，并采用由德拉马特尔设计的100分评分系统对骨折愈合的临床影像学进展及功能结果进行了研究。22例患者结果优异，8例患者结果良好至尚可，无结果差的患者。影像学愈合的平均时间为17.5周。研究结果表明，虽然锁定髁钢板在治疗低能量胫骨平台骨折方面似乎效果优异，但它或许也可成功用于治疗高能量骨折类型的患者，而无需额外的内侧稳定。
