论文部分内容阅读
儿童胫骨棘撕脱骨折是一种较少见的关节内骨折。作者介绍了该骨折的诊断与分型、受伤机制及治疗方法的选择。对该骨折的治疗，作者早期多采用切开复位手术治疗。近１０年来改变了以往的治疗原则基本上根据Ｍｅｙｅｒ’ｓ和Ｍｃｋｅｅｖｅｒ提出的分型进行治疗，首先应十分熟悉该骨折的分型才能正确进行治疗。对Ｉ、ＩＩ型和第ＩＩＩ型大部分采取保守治疗效果是满意的，而对手术适应证掌握在骨折移位严重或骨片有翻转的病例。自１９８０～１９９３年共收治了２５例，手术的７例中ＩＩ型２例，ＩＩＩ型５例。保守治疗１８例中Ｉ型２例，ＩＩ型６例，ＩＩＩ型１０例。手术治疗采用切开复位钢丝内固定。保守治疗采用膝关节伸直位长腿石膏固定６周。随访１８例中手术者７例。保守治疗者１１例。两种治疗效果均满意。
Children tibial spine avulsion fracture is a less common intra-articular fracture. The author introduced the diagnosis and classification of the fracture, the mechanism of injury and treatment options. The treatment of the fracture, the author early use of open reduction surgery. In the past 10 years to change the treatment of the principle of the past, basically based on the type of treatment proposed by Meyer’s and Mckeever, first of all should be very familiar with the classification of the fracture in order to correct treatment. Conservative treatment of most types I, II, and III is satisfactory, while indications for surgery are in cases of severe fracture dislocation or turnover of the bone fragment. From 1980 to 1993, a total of 25 cases were treated. Of the 7 cases, 2 were type II and 5 were type III. Conservative treatment in 18 cases of type I in 2 cases, type II in 6 cases, type III in 10 cases. Surgical treatment of open reduction wire fixation. Conservative treatment of knee extension with long leg plaster fixed for 6 weeks. Follow-up 18 cases of surgery in 7 cases. Conservative treatment in 11 cases. Both treatments are satisfactory.