CAJ | 학술논문

目的：研究有关治疗膝关节后内侧入路治疗胫骨平台后骨折的方法与临床效果。方法选择几年内在我院骨科接受治疗的20名胫骨平台后侧骨折患者，将他们任意划分成观察组（G组）与对照组（D组），G组接受膝关节改良然后进行内侧入路治疗，D组则接受未经改良的常规方法进行治疗。每组各10例，年龄在25～57岁。诱发骨折的因素：车祸事故12人，临高不慎摔伤8人。结果对全部的20例患者进行短至半年、长达两年的随访，与对照组相比，观察组只有1例患者手术以后出现创口皮缘稍微损伤，经过用药调养以后恢复健康。没有出现血管神经坏死，也没有出现骨干固定效果不佳的不良现象，观察组患者几乎都达到了骨性痊愈状态。具体的治疗效果评价为：观察组患者比对照组患者恢复更好，对治疗效果更加满意。结论与传统骨折治疗法相比，这种治疗方法具有良好的疗效，骨伤患处暴露更为清晰，易于操作，对于骨折部位的损害少，安全等级较高，而且易于操作，值得推广与采纳。
목적：연구유관치료슬관절후내측입로치료경골평태후골절적방법여림상효과。방법선택궤년내재아원골과접수치료적20명경골평태후측골절환자，장타문임의화분성관찰조（G조）여대조조（D조），G조접수슬관절개량연후진행내측입로치료，D조칙접수미경개량적상규방법진행치료。매조각10례，년령재25～57세。유발골절적인소：차화사고12인，림고불신솔상8인。결과대전부적20례환자진행단지반년、장체량년적수방，여대조조상비，관찰조지유1례환자수술이후출현창구피연초미손상，경과용약조양이후회복건강。몰유출현혈관신경배사，야몰유출현골간고정효과불가적불량현상，관찰조환자궤호도체도료골성전유상태。구체적치료효과평개위：관찰조환자비대조조환자회복경호，대치료효과경가만의。결론여전통골절치요법상비，저충치료방법구유량호적료효，골상환처폭로경위청석，역우조작，대우골절부위적손해소，안전등급교고，이차역우조작，치득추엄여채납。
Objective To study the method and clinical curative effect of knee posteromedial approach in the treatment of posterior tibial plateau fractures. Methods 20 patients with posterior tibial plateau fractures received the treatment in orthopaedics department of our hospital within a few years were randomly divided into the observation group(group G)and the control group (group D). The patients in the group G were treated with the improvement knee posteromedial approach treatment, while the patients in the group D were treated with the traditional knee posteromedial approach treatment. There were 10 people in each group, whose age was 25-57 years old. Twelve of them were hurt by traffic accident and eight people were badly hurt by falling down. Results The follow-up of all 20 patients during the half a year to two years showed that compared with the control group, only one patient in the observation group occurred slight damage skin edges, and recovered after the drugs treatment, and no one patient happened artery or nerves necrosis, as well as bad backbone fixed effect, almost all the patients in the observation group achieved bony healing. The evaluation of the curative effect showed that the recover effect of patients in the observation group was better than that in the control group, which had more satisfied therapeutic effect. Conclusion Compares with the traditional treatment method of fractures, this treatment method has good curative effect, the exposure of wounded part is more clear, easier to operation, less damage to the fracture site, higher security, and is worthy of promotion and adoption.