前后联合小切口入路治疗复杂胫骨平台伴后髁骨折效果观察  

Observation of the efficacy of combined anterior-posterior approach in the treatment of complex tibial plateau fracture with posterior condylar fracture

作　　者：刘明军[1] 

机构地区：[1]濮阳市人民医院骨二科,河南濮阳457000

出　　处：《河南医学研究》2016年第7期1165-1167,共3页Henan Medical Research

摘　　要：目的观察前后联合小切口入路治疗复杂胫骨平台伴后髁骨折的临床效果。方法选择2013年11月至2014年12月濮阳市人民医院收治的112例复杂胫骨平台伴后髁骨折患者,随机分成对照组和治疗组,各56例。对照组采用传统前侧入路手术治疗,治疗组采用前后联合小切口入路治疗,观察两组患者治疗效果。结果治疗组患者骨折愈合时间较对照组短,并发症发生率较对照组低,差异有统计学意义(P<0.05);治疗组骨折部位恢复优良率高于对照组,差异有统计学意义(P<0.05)。结论采用前后联合小切口入路治疗复杂胫骨平台伴后髁骨折患者效果显著,能有效缩短骨折愈合时间,降低并发症发生率,可推广应用。Objective To observe the the efficacy of combined anterior -posterior approach in the treatment of complex tibial plateau fracture with posterior condylar fracture.Methods 112 patients with complex tibial plateau fracture with posterior con-dylar fracture treated in People’s Hospital of Puyang from November of 2013 to December of 2014 were selected and divided into control group and treatment group,56 cases in each group.The control group accepted operation by surgery by anterior approach and the treatment group accepted operation by anterior -posterior approach.The operation effects were obeserved.Results The fracture healing time of the treatment group was shorter than that of the control group,the complication rate was lower than the control group,the difference was statistically significant （P 〈0.05）.The good rate of recovery in the treatment group was higher than that in the control group,and the difference was statistically significant （P 〈0.05）.Conclusion The efficacy of operation by combined anterior -posterior approach was significant in the treatment of complex tibial plateau fracture with posterior condylar fracture,with shorter fracture healing time,lower complication rate,worthy of promotion.

关 键 词：前后联合入路 复杂胫骨平台骨折 后髁骨折 

分 类 号：R683.42[医药卫生—骨科学]