CAJ | 학술논문

目的：对比分析内外侧入路治疗股骨远端C型骨折的临床效果。方法对2006年1月至2012年6月该科收治的79例股骨远端C型骨折患者分别采用内侧入路（41例）与外侧入路（38例）内固定治疗，对2种方法的手术时间、术中出血量、骨折愈合时间及膝关节功能进行比较。结果对所有患者进行8～24个月的随访，骨折均愈合。内侧入路治疗组手术时间、术中出血量均优于外侧入路治疗组，差异均有统计学意义（P＜0.05）。采用Kolmert股骨远端功能评定标准对下肢功能进行评估，内侧入路治疗组优良率为78.05%，外侧入路治疗组优良率为76.30%，两组比较，差异无统计学意义（P＞0.05）。结论采用内侧入路内固定治疗股骨远端C型骨折较外侧入路疗效更满意。
목적：대비분석내외측입로치료고골원단C형골절적림상효과。방법대2006년1월지2012년6월해과수치적79례고골원단C형골절환자분별채용내측입로（41례）여외측입로（38례）내고정치료，대2충방법적수술시간、술중출혈량、골절유합시간급슬관절공능진행비교。결과대소유환자진행8～24개월적수방，골절균유합。내측입로치료조수술시간、술중출혈량균우우외측입로치료조，차이균유통계학의의（P＜0.05）。채용Kolmert고골원단공능평정표준대하지공능진행평고，내측입로치료조우량솔위78.05%，외측입로치료조우량솔위76.30%，량조비교，차이무통계학의의（P＞0.05）。결론채용내측입로내고정치료고골원단C형골절교외측입로료효경만의。
Objective To investigate the clinical effect of medial approach and lateral approach in treatment of type C fractures of distal femoral. Methods Totally 79 patients with type C fractures of distal femoral during Janurary 2006 to June 2012 were treated by open reduction and internal fixation according to the medial or lateral approach ,41 treated with medial approach , 38 with lateral approach. The two methods were compared on the operation time ,amount of bleeding during the operation ,fracture healing time and knee joint function. Results The followed-up period varied from 8 months to 24 months ,and all the factures got healed. The medial approach treatment group was significantly better than the lateral approach treatment group in the operation time and amount of bleeding during the operation(P>0.05). According to distal femoral function evaluation criteria of Kolmert,the excellence rate was 78.05%in the medial approach treatment group and 76.30%in the lateral approach treatment group with sta-tistically significant difference(P<0.05). Conclusion Surgical treatment by medial approach is a better method for type C fractures of distal femoral than that by later approach.