摘要
目的:观察经膝关节后侧改良倒L形入路手术治疗胫骨平台后柱骨折的效果。方法:选取在本院接受手术治疗的80例胫骨平台后柱骨折患者进行研究,按照随机数字表法将其分为对照组和观察组,每组40例。对照组采用传统的胫骨平台后内侧或后外成入路的手术治疗,观察组患者采用经膝关节改良倒L形入路手术治疗,比较两组的治疗效果。结果:观察组骨折愈合时间及完全负重时间均明显短于对照组(P<0.05);术后1年,观察组膝关节活动度明显优于对照组(P<0.05),膝关节功能评分明显高于对照组(P<0.05)。结论:在胫骨平台后柱骨折的治疗中,经膝关节后侧改良倒L形入路方式能够更好地暴露骨折端,治疗效果显著,同时其操作简单,安全性高,值得临床推广应用。
Objective： To observe the therapeutic effect of modified inverted L-shaped approach on posterior tibial plateau fractures treated.Method： A total of 80 cases of tibial plateau fractures in our hospital were selected and divided into the control group and the observation group according to random number table method, 40 cases in each group.The control group was treated with the traditional surgical treatment of the posterior medial or posterior tibial plateau, the observation group was treated by the improved inverted L-shaped approach, the therapeutic effect of two groul^s were compared.Result： The fracture healing time and total loading time of the observation group were significantly shorter than those of the control group （ P〈0.05 ） ; after 1 year of operations, the knee joint mobility of the observation group was significantly better than that of the control group （ P〈0.05 ）, and the knee function score was significantly higher than that of the control group （P〈0.05） .Conclusion： In the treatment of posterior column fractures of the tibial plateau, the knee joint posterior modified inverted L-shaped approach can expose bone fracture better, the treatment effect is remarkable, and it has the advantages of simple operation, high safety, is worthy of clinical application.
出处
《中国医学创新》
CAS
2017年第27期104-106,共3页
Medical Innovation of China
基金
广东省湛江市科技计划项目(2015B01132)
关键词
胫骨平台后柱骨折
后侧入路
改良倒L形入路
Tibial plateau posterior column fracture
Posterior approach
Improved inverted L-shaped approach
