双髁胫骨平台骨折采用双外侧锁定钢板与单外侧锁定钢板的比较。
COMPARISON OF BICONDYLAR TIBIAL PLATEAU FRACTURES WITH DOUBLE OR SINGLE LATERAL LOCKED PLATE.
作者信息
Arouca Matheus Manolo, da Costa Guilherme Henrique Ricardo, Leonhardt Marcos Camargo, Barbosa Dennis, Silva Jorge Dos Santos, Kojima Kodi Edson
机构信息
Universidade de São Paulo, Medical School, Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2020 Jul-Aug;28(4):182-185. doi: 10.1590/1413-785220202804233122.
OBJECTIVE
To compare postoperative radiographic outcomes of Schatzker type V and VI tibial plateau fractures treated with double-plate or single lateral locked plate.
METHODS
Sixty-three patients operated from December 2011 to February 2016 were selected, 47 from the double-plate group and 16 from the single lateral locked plate group. Minimum follow-up for all patients was 6 months. Fracture reduction evaluation was based on radiographic parameters: joint reduction, sagittal alignment, coronal alignment, and condylar width.
RESULTS
Radiographic evaluation showed no statistical difference in the immediate or late postoperative periods.
CONCLUSION
Despite the reduced sample, this study is aligned with current results published in the medical literature. The severity of Schatzker type V and VI tibial plateau fractures can be minimized by the correct indication for the implant regarding fracture morphology.
目的
比较采用双钢板或单侧锁定钢板治疗的Schatzker V型和VI型胫骨平台骨折的术后影像学结果。
方法
选取2011年12月至2016年2月期间接受手术的63例患者，双钢板组47例，单侧锁定钢板组16例。所有患者的最短随访时间为6个月。骨折复位评估基于影像学参数：关节复位、矢状位对线、冠状位对线和髁宽度。
结果
影像学评估显示术后即刻或晚期无统计学差异。
结论
尽管样本量减少，但本研究与医学文献中发表的当前结果一致。通过根据骨折形态正确选择植入物，可将Schatzker V型和VI型胫骨平台骨折的严重程度降至最低。
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