摘要
目的探讨后柱复杂胫骨平台骨折患者行后正中入路联合其他入路手术治疗的临床效果。方法选取2016年12月至2017年12月我院收治的28例后柱复杂胫骨平台骨折患者作为研究对象,患者均于我院创伤骨科接受内侧倒"L"型后正中入路联合前内侧或前外侧入路手术治疗。记录并分析患者的X线愈合时间、膝关节活动度、胫骨平台内翻角(TPA)及后倾角(PA)及美国纽约特种外科医院(HSS)膝关节评分。结果患者的X线愈合时间为12~23周,平均(14.4±3.5)周;膝关节活动度范围为105°~135°,平均(120.5°±4.5°)。评估患者的临床疗效显示,优秀17例,良好8例,尚可3例,优良率为89.3%。术后各时间段患者的HSS评分、TPA、PA组间比较,差异无统计学差异(P>0.05)。结论临床中对后柱复杂胫骨平台骨折患者行后正中入路联合其他入路手术治疗效果显著,能够精确定位手术区域,完成骨折复位。
Objective To explore the clinical effect of posterior median approach combined with other approaches in the treatment of complicated tibial plateau fractures of posterior column. Methods A total of 28 patients with complicated tibial plateau fractures of posterior column admitted in our hospital from December 2016 to December 2017 were selected as the study subjects. All patients received the operation of medial inverted "L" type posterior median approach combined with anteromedial or anterolateral approach. The X-ray healing time, knee joint mobility, tibial plateau varus angle(TPA) and caster angle(PA) and knee joint score of New York Hospital for Special Surgery(HSS) about the patients were recorded and analyzed. Results The X-ray healing time was 12-23 weeks, with an average of(14.4±3.5) weeks;the range of knee joint activity was 105°-135°, with an average of(120.5°±4.5°). According to the clinical efficacy evaluation, 17 cases were excellent, 8 cases were good, 3 cases were fair, the excellent and good rate was 89.3%. There were no significant differences in HSS scores, TPA and PA among the patients at different time after operation(P >0.05). Conclusion Posterior median approach combined with other approaches in the treatment of complicated tibial plateau fractures of posterior column has remarkable therapeutic effect in clinic. It can accurately locate the operation area, and complete the fracture reduction.
作者
杜俊伟
赵涛涛
DU Jun-wei;ZHAO Tao-tao(Xi'an XD Group Hospital,Xi'an 710077;Baoji High-tech People's Hospital,Baoji 721000,China)
出处
《临床医学研究与实践》
2019年第32期72-74,共3页
Clinical Research and Practice
关键词
胫骨平台骨折
后柱
正中入路
tibial plateau fractures
posterior column
median approach
