后侧入路内固定治疗胫骨平台后侧骨折效果  

EFFICACY OF INTERNAL FIXATION FOR TIBIAL PLATEAU FRACTURE THROUGH POSTERIOR APPROACH

作　　者：刘高强[1] 

机构地区：[1]莱芜市人民医院急诊科,山东莱芜271199

出　　处：《齐鲁医学杂志》2014年第5期436-438,共3页Medical Journal of Qilu

摘　　要：目的观察后侧入路内固定治疗胫骨平台后侧骨折的效果。方法对86例手术治疗的胫骨平台后侧骨折病人的临床资料进行回顾性分析,根据骨折情况分别采用后外侧入路(42例)及后内侧入路(44例)途径进行骨折复位并实施内固定。结果手术后病人整体恢复情况良好,骨折基本愈合,术后病人Rasmussen放射学评分优良率为84.9%,美国纽约特种外科医院(HSS)膝关节功能评分的优良率为83.7%。病人术后Rasmussen放射学评分、关节功能评分与术前比较,差异有显著性(H=14.95、15.43,P<0.05)。结论后侧入路内固定治疗胫骨平台后侧骨折具有创伤小、复位准确、固定牢固等优点,临床效果较为满意。Objective To assess the efficacy of internal fixation for tibial plateau fracture（TPF）through posterior approach. Methods Aretrospective review was conducted of clinical data of 86 patients underwent surgery of internal fixation for TPF,who were treated with either through posterolateral approach（42cases）or posteromedial approach（44cases）. Results Postoperatively,recovery was good in all the patients with fracture healing,Rasmussen radiology score was 84.9%and the United States New York special surgical hospital（HSS）knee function score was 83.7%,compared with that before surgery,the differences were significant（H=14.95,15.43;P〈0.05）. Conclusion Internal fixation through posterior approach for tibial plateau fracture has advantages of less surgery trauma,accurate reposition,and fixed immobilization.The clinical results are satisfied.

关 键 词：胫骨骨折 骨折固定术 内 治疗结果 

分 类 号：R683.42[医药卫生—骨科学]