改良膝关节后内侧入路治疗胫骨平台后侧骨折的临床效果  

Clinical efficacy of improved knee posteromedial approach in the treatment of patients with posterior tibial plateau fractures

作　　者：戴永平[1] 

机构地区：[1]江苏省如皋市人民医院骨科,江苏如皋226500

出　　处：《中国当代医药》2015年第19期91-93,共3页China Modern Medicine

摘　　要：目的观察改良膝关节后内侧入路术治疗胫骨平台后侧骨折的临床效果。方法回顾性分析2009年1月~2013年12月本院收治的40例胫骨平台后侧骨折患者,随机分成观察组和对照组,每组20例,观察组行改良膝关节后内侧入路手术,对照组行常规加压螺钉内固定术,观察两组的临床疗效。结果观察组的骨折愈合时间低于对照组[（15.2±1.3）vs（18.7±2.2）周],并发症发生率低于对照组（0.0%vs 25.0%）,膝关节恢复优良率和胫骨平台后侧骨折部位恢复优良率均明显高于对照组（95.0%vs 65.0%,90.0%vs 70.0%）,差异有统计学意义（P〈0.05）。结论改良膝关节后内侧入路术对胫骨平台后侧骨折的临床效果较理想,值得临床推广。Objective To observe the clinical effect of improved knee posteromedial approach in the treatment of posterior tibial plateau fractures. Methods Forty patients with posterior tibial plateau fractures were evenly divided into observation group and control group in random.In observation group,improved knee posteromedial approach was applied, while in control group,internal fixation of conventional compression screw was adopted.The clinical efficacy between two groups was observed respectively. Results The fracture healing time in observation group was lower than that in control group[（15.2±1.3）vs（18.7±2.2）weeks].The incidence of complications in observation group was lower than that in control group （0.0% vs 25.0%）.Excellent and good rates of knee joint recovery and restoration of posterior tibial plateau fractures in observation group was 95.0% and 90.0% respectively,much higher than that in control group（65.0% vs 70.0%）, with statistical difference（P〈0.05）. Conclusion Improved knee posteromedial approach obtains an ideal clinical efficacy on treating posterior tibial plateau fractures,which is worthy of clinical promotion.

关 键 词：改良膝关节后内侧入路 胫骨平台后侧骨折 临床效果 

分 类 号：R683.42[医药卫生—骨科学]