CAJ | 학술논문

目的：探讨复杂胫骨平台骨折手术治疗方法及影响疗效的因素，为复杂胫骨平台骨折的治疗提供参考依据。方法选取收治的复杂胫骨平台骨折患者71例，随机分成单切口组、双切口组和直切口组，单切口组21例，采取膝前外侧单切口单钢板法治疗；双切口组24例，采取膝内外侧双切口钢板法治疗；直切口组26例，采取膝前正中直切口双钢板法治疗，比较三组临床疗效。结果单切口组优良率85.71%，双切口组优良率95.83%，直切口组优良率96.15%，双切口组和直切口组优良率明显高于单切口组，差异具有统计学意义（P＜0.05）。结论膝前正中直切口双钢板法和双切口法治疗复杂胫骨平台骨折具有较好的应用效果，是临床中治疗复杂胫骨平台骨折的良好方法。
목적：탐토복잡경골평태골절수술치료방법급영향료효적인소，위복잡경골평태골절적치료제공삼고의거。방법선취수치적복잡경골평태골절환자71례，수궤분성단절구조、쌍절구조화직절구조，단절구조21례，채취슬전외측단절구단강판법치료；쌍절구조24례，채취슬내외측쌍절구강판법치료；직절구조26례，채취슬전정중직절구쌍강판법치료，비교삼조림상료효。결과단절구조우량솔85.71%，쌍절구조우량솔95.83%，직절구조우량솔96.15%，쌍절구조화직절구조우량솔명현고우단절구조，차이구유통계학의의（P＜0.05）。결론슬전정중직절구쌍강판법화쌍절구법치료복잡경골평태골절구유교호적응용효과，시림상중치료복잡경골평태골절적량호방법。
Objective To investigate the operation method and factors inlfuencing the effect for complex tibia plateau fractures. Methods 71 cases with complex tibia plateau fractures in our hospital were randomly divided into single-incision group, two-incision group and straight incision group. 21 cases in single-incision group were taken anterior knee lateral incision and single plate method, 24 cases in two-incision groupwere taken knee medial and lateral double incision and double plate method, 26 cases in straight incision groupwere taken knee anterior midline incision and double plate method.The effects of the three groups were compared. Results The excellent rate of the single-incision group was 85.71%, two-incision group 95.83%, vertical incision group 96.15%.The excellent rate of two-incision group and straight incision group was signiifcantly higher than single-incision group, the difference was signiifcant (P<0.05 ). Conclusion Knees are straight incision double steel plate method and double incision treatment for complex fractures of tibial plateau has a good application effect, is in the clinical treatment of complex tibial plateau fractures is good method.