CAJ | 학술논문

目的：探讨双切口入路内固定治疗复杂胫骨平台骨折的手术治疗方法及疗效。方法：21例复杂胫骨平台骨折患者，均为闭合性损伤。骨折类型：按照Schatzker分型标准：Ⅴ型13肢。Ⅵ型8肢。受伤至手术时间7~12 d（平均8.9 d），均采用双切口入路，复位内固定治疗。结果：所有患者均获随访，随访时间12~22个月，平均13.6个月。术后骨折愈合时间4~5个月（平均4.3个月），骨折线模糊骨折愈合，无明显膝内、外翻畸形。术后1年膝关节活动度：屈（130.3±6.5）°，伸（1.7±0.9）°。其中：优15例，良4例，中2例，差0例。结论：膝关节的双切口入路内固定胫骨平台骨折稳定性好，愈合率高，可较早行功能锻炼，从而获得更好的疗效。
목적：탐토쌍절구입로내고정치료복잡경골평태골절적수술치료방법급료효。방법：21례복잡경골평태골절환자，균위폐합성손상。골절류형：안조Schatzker분형표준：Ⅴ형13지。Ⅵ형8지。수상지수술시간7~12 d（평균8.9 d），균채용쌍절구입로，복위내고정치료。결과：소유환자균획수방，수방시간12~22개월，평균13.6개월。술후골절유합시간4~5개월（평균4.3개월），골절선모호골절유합，무명현슬내、외번기형。술후1년슬관절활동도：굴（130.3±6.5）°，신（1.7±0.9）°。기중：우15례，량4례，중2례，차0례。결론：슬관절적쌍절구입로내고정경골평태골절은정성호，유합솔고，가교조행공능단련，종이획득경호적료효。
Objective To explore the two -incision surgical approach fixation methods and efficacy of complex tibial plateau frac-tures. Method 21 patients with complex tibial plateau fractures were treated in our hospital,Fracture type:According to Schatzker classifi-cation criteria:the fractures were diagnosed as type Ⅳ in 13,type Ⅳ in 8. The time from injury to operation was 7~12 days,the average time was 8. 9 days. All patients were treated with the two-incision surgical approach. Results All patients were followed up form 12 to 22 months( average of 13. 6 months). In 4~5 months( average of 4. 3 months),fracture lines were blur,within no obviously varus or valgus de-formity of knee. After 1 year of surgery:flexion(130. 3 ± 6. 5)°,extension(1. 7 ± 0. 9)°. 15 patients were excellent,4 good,2 medium and 0 poor. Conclusion The operative method has good stability and high healing rates,and gets better results.