CAJ | 학술논문

目的：探讨经腓骨截骨入路治疗胫骨平台后外侧骨折的可行性。方法150例胫骨平台后外侧骨折患者，随机分为观察组和对照组。观察组75例患者采用经腓骨截骨入路手术治疗；对照组75例患者采用经膝关节后方入路手术治疗。比较两组患者膝关节的恢复情况、治疗效果以及术后并发症发生情况。结果术后采用HSS评分标准对膝关节功能进行评分，观察组患者的评分明显高于对照组，二者相比差异有统计学意义(P<0.0001)；观察组的总有效率97.33%明显高于对照组77.33%，两组疗效比较差异具有统计学意义(P<0.05)；观察组的并发症发生率8.00%小于对照组患者18.67%，两组比较差异具有统计学意义(P<0.05)。结论采用经腓骨截骨入路手术治疗胫骨平台后外侧骨折疗效显著，值得临床推广。
목적：탐토경비골절골입로치료경골평태후외측골절적가행성。방법150례경골평태후외측골절환자，수궤분위관찰조화대조조。관찰조75례환자채용경비골절골입로수술치료；대조조75례환자채용경슬관절후방입로수술치료。비교량조환자슬관절적회복정황、치료효과이급술후병발증발생정황。결과술후채용HSS평분표준대슬관절공능진행평분，관찰조환자적평분명현고우대조조，이자상비차이유통계학의의(P<0.0001)；관찰조적총유효솔97.33%명현고우대조조77.33%，량조료효비교차이구유통계학의의(P<0.05)；관찰조적병발증발생솔8.00%소우대조조환자18.67%，량조비교차이구유통계학의의(P<0.05)。결론채용경비골절골입로수술치료경골평태후외측골절료효현저，치득림상추엄。
Objective To investigate the feasibility of fibular osteotomy approach in the treatment of posterolateral tibial plateau fractures.Methods A total of 150 patients with posterolateral tibial plateau fractures were randomly divided into observation group and control group. The observation group with 75 cases received fibular osteotomy approach surgery. The control group with 75 cases underwent knee joint posterior approach surgery. Comparisons were made on rehabilitation of knee joint, curative effect, and postoperative complications between the two groups.Results HSS score was applied to evaluate knee joint function after surgery. The observation group had higher score than the control group, and the difference had statistical significance (P<0.0001). The total effective rate of the observation group, as 97.33%, was obviously higher than 77.33% of the control group. The difference between the two groups had statistical significance (P<0.05). The incidence of complications of the observation group was 8.00%, which was lower than 18.67% of the control group, and the difference had statistical significance (P<0.05).Conclusion Application of fibular osteotomy approach surgery has precise effect in treating posterolateral tibial plateau fractures, and this method is worthy of clinical promotion.