THE RESULTS OF SURGICAL-MANAGEMENT OF DISPLACED TIBIAL PLATEAU FRACTURES IN THE ELDERLY

被引:79
作者
BIYANI, A
REDDY, NS
CHAUDHURY, J
SIMISON, AJM
KLENERMAN, L
机构
[1] Department of Orthopaedic Surgery, Arrowe Park Hospital, Upton, Wirral
[2] Department of Accident and Orthopaedic Surgery, Royal Liverpool University Hospital, Liverpool
[3] Department of Orthopaedic Surgery, Victoria Hospital, Blackpool
[4] Department of Orthopaedic Surgery, Macclesfield District General Hospital, Macclesfield
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1995年 / 26卷 / 05期
关键词
D O I
10.1016/0020-1383(95)00027-7
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
We retrospectively reviewed 32 elderly patients (mean age 71.7 years, range 66-83 years) with displaced tibial plateau fractures after a mean of 3.7 years (range 1-7 years) after operative treatment. Schatzker type 2 fracture was the commonest pattern of fracture (60.3 per cent). According to the modified Rasmussen clinical and radiographic criteria, there were nine excellent, 14 good, five fair and four poor results clinically, and 11 excellent, 12 good, six fair and three poor results radiographically. There was no significant correlation between the Fnal radiographic appearance and clinical outcome. Fourteen patients mobilized pastoperatively on a continuous passive motion machine followed by a cast brace had a better result than those mobilized in a cast brace alone, bat the difference was not statistically significant (P = 0.29). Postoperative complications included deep vein thrombosis in two patients.
引用
收藏
页码:291 / 297
页数:7
相关论文
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