CAJ | 학술논문

目的：探讨双切口双钢板治疗胫骨平台粉碎性骨折的疗效。方法：回顾性分析2007年5月～2011年5月间应用双切口双钢板治疗胫骨平台粉碎性骨折67例（SchatzkerⅤ型28例，SchatzkerⅥ型39例）。结果：本组病人均获随访，随访时间1年～2年零6个月，平均1年零5个月。术后3天 X 线片示股胫角（FTA）177°±2.9°，胫骨平台内翻角（TPA）87°±1.3°，后倾角（PA）9°±1.8°。术后3月、1年复查角度无明显丢失,差异无显著性意义（P＞0.05）。术后 1年膝关节美国特种外科医院（HSS）评分64-97分，平均86.4分。优良率91.04%。结论：采用双切口双钢板内固定能为胫骨平台粉碎性骨折提供良好的力学稳定性，降低并发症的发生率，获得理想的膝关节活动度。
목적：탐토쌍절구쌍강판치료경골평태분쇄성골절적료효。방법：회고성분석2007년5월～2011년5월간응용쌍절구쌍강판치료경골평태분쇄성골절67례（SchatzkerⅤ형28례，SchatzkerⅥ형39례）。결과：본조병인균획수방，수방시간1년～2년령6개월，평균1년령5개월。술후3천 X 선편시고경각（FTA）177°±2.9°，경골평태내번각（TPA）87°±1.3°，후경각（PA）9°±1.8°。술후3월、1년복사각도무명현주실,차이무현저성의의（P＞0.05）。술후 1년슬관절미국특충외과의원（HSS）평분64-97분，평균86.4분。우량솔91.04%。결론：채용쌍절구쌍강판내고정능위경골평태분쇄성골절제공량호적역학은정성，강저병발증적발생솔，획득이상적슬관절활동도。
Objective: To explore the treatment effect of two-incision double plating for tibial plateau comminuted fractures. Methods: From May 2007 to May 2011, 67 patients with tibial plateau comminuted fractures(Schatzker typeⅤ in 28, Schatzker type Ⅵ type in 39) were treated with double plates through double incision. Results: The patients were followed up for 1 year to 2 years and 6 months(mean one-year and five months). The X-ray of 3 days postoperation showed femoral-tibial angle (FTA) is 177 ° ± 2.9 °, the turning angle of the tibial plateau (TPA) is 87 ° ± 1.3 °, the post-inclination angle(PA) is 9 ° ± 1.8 °. After 3 months, 1 year the angles have no obvious loss, the difference was not significant (P> 0.05). 1 year postoperation knee Hospital for Special Surgery (HSS) score is 64-97 points (mean 86.4). Excellent rate is 91.04%. Conclusion: The method of two-incision double plating for tibial plateau comminuted fractures can provides good mechanical stability, reduce the incidence of complications, and obtain the desired ac-tive degree of knee joint.