Lobenhoffer入路治疗MooreⅠ型胫骨平台后内侧劈裂
骨折
冯华明;易成腊;宋先舟;胡耑;赵鸿;李占飞;郑国寿;白祥军
【期刊名称】《创伤外科杂志》 【年(卷),期】2011(013)005
【摘要】Objective To describe the operative procedures and clinical outcomes of Moore type Ⅰ posteromedial split fracture using Lobenhoffer approach. Methods Six patients with Moore type Ⅰ tibial plateau fracture were operatively treated utilizing Lobenhoffer approach. The skin incision was performed straight along the border of the medial head of gastrocnemius at the level of the medial joint line. The fracture was exposed between the interval of the semitendinous muscle and the medial gastrocnemius head. The fragments were reestahlished directly and fixed using posterior buttress plate. Reductions were assessed according to the methods of DeCoster and the functional outcomes were assessed by HSS knee outcome score respectively. Results All patients were followed up with an average period of 14.8 months ( ranging from 13 t0 24 months). All fractures got healed with an average healing time of 13.7 weeks. Anatomic (5 patients) and good (1 patient) reduction was achieved in these 6 patients. The average HSS knee score was 90.3 ( 86-97 ) . No vascular injuries,infections and skin necrosis were found postoperatively. Conclusion Lohenhoffer approach
Lobenhoffer入路治疗MooreⅠ型胫骨平台后内侧劈裂骨折
