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首页> 外文期刊>Open Journal of Urology >Osteosynthesis Results of Tibia Plateau Fractures at the Yalgado Ouedraogo University Hospital Center
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Osteosynthesis Results of Tibia Plateau Fractures at the Yalgado Ouedraogo University Hospital Center

机译：Yalgado Ouedraogo大学医院中心胫骨平台骨折的骨合成结果

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The sophistication of the implants allows the extension of the surgical indications for tibia plateau fractures. These fractures, which are often comminuted, are caused by a high velocity trauma, making treatment difficult. Objective: The aim of this study was to determine the indications for osteosynthesis of tibia plateau fractures in the orthopaedic-traumatology department of the Yalgado Ouédraogo University Hospital, in order to evaluate the results for their better management. Patients and Methods: it was a 5-year retrospective study of the records of patients with tibia plateau fracture operated and hospitalized in our department. The anatomical-clinical and therapeutic aspects collected from the complete files were analysed. A cortico-cancellous graft was performed in 67.4% of cases. The results were evaluated according to the criteria of Merle d’Aubigné and Mazas [1] . Road traffic accidents (97.4%) were the predominant etiology, involving mainly motorcycles (97.8%). Results: Spino-tuberository and uni-tuberository fractures were the most common. The average consolidation time was 12.5 weeks. One urinary infection, 3 superficial suppurations, 3 vicious calluses and 2 equipment dismantlings were the main complications. Our results were excellent and good in 91.3% and fair in 6.5%. Osteosynthesis of tibial plateau fractures provides excellent results and remains the most appropriate procedure to treat these fractures. Conclusion: reduce the operating time, modernize the technical platform, will allow stable osteosynthesis and early functional rehabilitation to optimize their results.
机译：植入物的复杂性使得胫骨平台骨折的手术适应证得以扩展。这些经常被粉碎的骨折是由高速创伤引起的，使得治疗困难。目的：本研究的目的是确定YalgadoOuédraogo大学医院骨科-骨伤科的胫骨平台骨折的骨合成适应症，以便评估其治疗效果。患者与方法：这是对我科手术和住院的胫骨平台骨折患者的记录进行的为期5年的回顾性研究。分析了从完整文件中收集的解剖，临床和治疗方面。在67.4％的病例中进行了皮质-松质移植。根据Merle d'Aubigné和Mazas [1]的标准对结果进行了评估。道路交通事故（97.4％）是主要病因，主要涉及摩托车（97.8％）。结果：脊柱结核和单管结核最常见。平均合并时间为12.5周。主要并发症为1例尿路感染，3例浅表化脓，3例恶性老茧和2例设备拆除。我们的结果非常好，达到91.3％，还不错，为6.5％。胫骨平台骨折的骨合成提供了出色的结果，并且仍然是治疗这些骨折的最合适方法。结论：减少手术时间，现代化技术平台，将使稳定的骨合成和早期的功能康复达到最佳效果。

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