Soni Ashwani, Gupta Ravi, Gupta Sandeep, Kansay Rajeev, Kapoor Love
Department of Orthopaedics, Government Medical College and Hospital, Sector - 32, Chandigarh, 160032, India.
J Clin Orthop Trauma. 2019 Jul-Aug;10(4):785-788. doi: 10.1016/j.jcot.2018.08.012. Epub 2018 Aug 7.
We treated proximal tibia fractures according to our own CT based classification in which we divided these fractures into different varus and valgus fractures. We also provide a guide for reduction of these fractures and the sequence in which different fractured fragments of proximal tibia should be fixed.
Patients were identified from the hospital records, treated according to classification based upon mechanism of injury, from August 2014 to December 2016. Patients were called for follow up in outpatient department for evaluation. Functional evaluation was done according to Rasmussen functional grading score.
Twenty one patients of proximal tibia fracture were treated between august 2014 to December 2016 according to our method. There were 17 male and 4 female. Age ranged from 20 year to 65 year (average 35.19 year). 17 patients were turned up for latest follow up who were analysed for Rasmusssen functional grading score. 14 patients had excellent and 3 patients had good function according to Rasmussen functional grading score.
Our classification system provides a guide for reduction of proximal tibia fractures and also tells us the sequence of different fracture fragments.
我们根据自己基于CT的分类方法治疗胫骨近端骨折，该分类将这些骨折分为不同的内翻和外翻骨折。我们还提供了这些骨折复位的指导以及胫骨近端不同骨折碎片的固定顺序。
从2014年8月至2016年12月的医院记录中识别患者，并根据损伤机制进行分类治疗。患者被要求到门诊进行随访评估。根据拉斯穆森功能分级评分进行功能评估。
2014年8月至2016年12月期间，按照我们的方法治疗了21例胫骨近端骨折患者。其中男性17例，女性4例。年龄范围为20岁至65岁（平均35.19岁）。17例患者前来进行最新随访，并对其进行拉斯穆森功能分级评分分析。根据拉斯穆森功能分级评分，14例患者功能优秀，3例患者功能良好。
我们的分类系统为胫骨近端骨折的复位提供了指导，也告知了我们不同骨折碎片的固定顺序。
