改良前外侧入路治疗胫骨平台后外侧骨折的临床效果观察  

Clinical effect of modified anterolateral approach in the treatment of posterolateral tibial plateau fracture

作　　者：王爱军[1] 陶建峰[1] 高庆峰 成雪 Wang Aijun;Tao Jianfeng;Gao Qingfeng;Cheng Xue(Department of Trauma 2,the Second Hospital of Tangshan,Hebei Province,Tangshan 063000,China)

机构地区：[1]河北省唐山市第二医院创伤二科,063000

出　　处：《中国综合临床》2020年第4期324-327,共4页Clinical Medicine of China

基　　金：河北省医学科学研究重点课题计划项目(20160815)。

摘　　要：目的分析改良前外侧入路治疗胫骨平台后外侧骨折的手术方法及临床效果。方法回顾性分析2014年1月至2017年12月河北省唐山市第二医院行改良前外侧入路治疗胫骨平台后外侧骨折的患者21例的临床资料。术后1、3、6和12个月门诊定期复查。采用Rasmussen放射学评分、应用美国特种外科医院(Hospital for Special Surgery,HSS)膝关节功能评分标准评定膝关节的恢复功能,以及Lysholm评分评估术后膝关节功能,评分结果进行统计学分析。结果21例术后即刻复查Rasmussen放射学评分(16.96±1.67)分,范围为15.00~18.00分,优15例,良6例,优良率100%;末次随访时Rasmussen放射学评分(16.57±1.51)分,范围为15.00~18.00分,末次随访与术后即刻比较,差异无统计学意义(t=0.935,P>0.05)。末次随访时,膝关节功能HSS评分(88.55±7.25)分,范围为80.00~9.00分。末次随访时,Lysholm评分(86.64±4.34)分,范围为82.00~90.00分,优15例,良6例,优良率100%。结论改良前外侧入路治疗胫骨平台后外侧骨折手术方法有效简单,可取得良好的临床效果。Objective To analyze the surgical method and clinical effect of modified anterolateral approach in the treatment of posterolateral tibial plateau fractures.Methods From January 2014 to December 2017,21 patients with posterolateral tibial plateau fractures were treated by the modified anterolateral approach in the second people's Hospital of Tangshan,Hebei Province were retrospectively analyzed.The outpatient department conducted regular reexaminations 1,3,6 and 12 months after the operation.Rasmussen radiology score,hospital for special surgery(HSS)score of knee function and Lysholm score were used to evaluate the postoperative knee function,and the score results were statistically analyzed.Results The Rasmussen radiological score of 21 patients immediately after surgerywas(16.96±1.67),ranging from 15.00 to 18.00,with excellent in 15 cases,good in 6 cases,and the excellent and good rate was 100%.Rasmussen radiology score(16.57±1.51)in the last follow-up,ranging from 15.00 to 18.00,showed no significant difference between the last follow-up and the immediate postoperative(t=0.935,P>0.05).At the last follow-up,the HSS score of knee joint function was(88.55±7.25),ranging from 80.00 to 9.00.At the last follow-up,Lysholm score(86.64±4.34),ranging from 82.00 to 90.00,was excellent in 15 cases,good in 6 cases,and excellent in 100%.Conclusion The modified anterolateral approach for the treatment of posterolateral tibial plateau fractures is effective and simple,and can achieve good clinical results.

关 键 词：胫骨平台后外侧骨折 改良前外侧入路 膝关节功能 

分 类 号：R687.3[医药卫生—骨科学]