复杂胫骨平台骨折手术时机与手术方式选择及疗效分析  

Analysis of operative timing and operative method for complex tibial plateau fracture and its curative effect

作　　者：梁江山 罗鹏 卓清兰 丁文彬 LIANG Jiangshan;LUO Peng;ZHUO Qinglan;DING Wenbin(Shenzhen Sixth People's Hospital,Shenzhen 518052,China)

机构地区：[1]深圳市第六人民医院,广东深圳518052

出　　处：《中国医药科学》2018年第6期219-221,共3页China Medicine And Pharmacy

摘　　要：目的分析复杂胫骨平台骨折手术治疗的时机和手术方式的选择,并分析手术疗效。方法选取我院收治的复杂胫骨平台骨折患者63例,随机分为两组,其中A组使用膝前正中切口双钢板法治疗,B组使用膝前外侧单切口单钢板法治疗,比较两组的治疗效果。结果 A组术中出血量、骨折愈合时间、内固定失败率与B组比较,差异具有统计学意义(P<0.05)。选择在骨折后6~8d时进行手术治疗的并发症发生率最低。结论复杂胫骨平台骨折患者适宜在在受伤后6~8d时进行手术治疗,应根据患者的实际情况选择合适的手术方式,膝前正中切口双钢板法为首先手术方案。Objective To analyze the timing of surgical treatment for complex tibial plateau fractures and the selection of surgical methods,and to analyze the effect of the operation.Methods sixty-three cases of complex tibial plateau fractures in our hospital were selected and randomly divided into two groups.Group A was treated by double anterior plate approach,while group B was treated by single anterolateral approach.The therapeutic effect of two groups was compared.Results The amount of intraoperative bleeding,fracture healing time and internal fixation failure rate in group A were significantly different from that in group B,and the difference was statistically significant(P<0.05).The incidence of surgical complications was the lowest at 6-8 days after fracture.Conclusion The patients with complex tibial plateau fracture should be treated at 6 to 8 days after the injury.The appropriate operation method should be selected according to the actual situation of the patients.The double plate method of anterior and middle knee incision is the first procedure.

关 键 词：复杂胫骨平台骨折 手术时机 手术方式 膝前正中切口双钢板法 

分 类 号：R687.3[医药卫生—骨科学]