CAJ | 학술논문

目的：探讨膝后侧倒“L”形入路内固定治疗胫骨后侧平台骨折的近期疗效。方法对2009年8月至2013年8月采用后侧倒“L”形入路内固定治疗胫骨后侧平台骨折的36例患者进行随访分析。其中男22例，女14例；年龄28~61岁，平均45.6岁。结果随访6个月至3年，平均1.8年。全部病例均获得影像学上的骨性愈合，愈合时间10~20周。Rasmussen 放射学评分16~18分，平均17.4分。骨折愈合后美国特种外科医院（the hospital for specil surgery，HSS）膝关节评分77~98分，平均89.4分。术后3年，膝关节屈伸活动范围0°~135°。结论采用倒“L”形入路治疗胫骨后侧平台骨折，操作简单易行，安全可靠，术后近期疗效满意。
목적：탐토슬후측도“L”형입로내고정치료경골후측평태골절적근기료효。방법대2009년8월지2013년8월채용후측도“L”형입로내고정치료경골후측평태골절적36례환자진행수방분석。기중남22례，녀14례；년령28~61세，평균45.6세。결과수방6개월지3년，평균1.8년。전부병례균획득영상학상적골성유합，유합시간10~20주。Rasmussen 방사학평분16~18분，평균17.4분。골절유합후미국특충외과의원（the hospital for specil surgery，HSS）슬관절평분77~98분，평균89.4분。술후3년，슬관절굴신활동범위0°~135°。결론채용도“L”형입로치료경골후측평태골절，조작간단역행，안전가고，술후근기료효만의。
Objective To evaluate the clinical results of operative treatments for the complex posterior tibial plateau frac-tures via Knee posterolateral inverted“L”shaped approach. Methods Thirty-six cases with complex posterior tibial plateau fracture from August 2009 through August 2013 were reviewed retrospectively. There were 22 males and 14 females,with age from 28 years to 61 years(average,47. 6 years). Results All Cases were followed up. The average follow-up time was 1. 8 years(range,6 ~ 36 months). At the final follow-up visit,bone union was obtained in all cases. The mean Rasmussen score was 17. 4(range,16 ~ 18),and the mean HSS was 89. 4(range,77 ~ 98). The postoperative knee range of motion were 0° ~ 135° 3 years after operation. There was no vascular and nerve iniuries. Loosing or breaking of hardware's was not found. Conclusion The Knee posterolateral inverted“L”shaped approach is preferred for the complex posterior plateau fractures,with the advan-tages of safe and simple.