CAJ | 학술논문

目的：探讨双侧切口入路在复杂胫骨平台骨折手术治疗中的应用及临床效果。方法回顾性分析2009年7月至2012年11月手术治疗的64例复杂胫骨平台骨折患者临床资料，按患者手术方式分为双侧切口入路组及前正中切口入路组，比较两组患者术中情况，术后并发症及膝关节功能恢复情况。结果两组患者手术时间无显著差别，双侧切口入路组术中出血量多于前正中切口入路组，双侧切口组入路术后并发症发生率低于前正中切口组，两组术后12个月膝关节功能优良率无显著差异。结论双侧切口入路治疗复杂胫骨平台骨折有利于减少术后并发症，促进术后膝关节功能的恢复，可依据个人的技术能力在临床中应用。
목적：탐토쌍측절구입로재복잡경골평태골절수술치료중적응용급림상효과。방법회고성분석2009년7월지2012년11월수술치료적64례복잡경골평태골절환자림상자료，안환자수술방식분위쌍측절구입로조급전정중절구입로조，비교량조환자술중정황，술후병발증급슬관절공능회복정황。결과량조환자수술시간무현저차별，쌍측절구입로조술중출혈량다우전정중절구입로조，쌍측절구조입로술후병발증발생솔저우전정중절구조，량조술후12개월슬관절공능우량솔무현저차이。결론쌍측절구입로치료복잡경골평태골절유리우감소술후병발증，촉진술후슬관절공능적회복，가의거개인적기술능력재림상중응용。
Objective To investigate appling and clinical effect of bilateral approach on operation for complex fracture of tibial plateau. Methods Clinical date of 64 cases patienst who taken operations for complex fracture of tibial plateau from July 2009 to Nov 2012 was analyzed with retrospective way,patients were divided into bilateral approach groups and middle approach groups according to modus operandi,and condition in operation, complication after operations and function of knee joint were contrasted between two groups.Results Time of operation was identical in two groups,volume of blood lossing was more in bilateral approach groups than middle approach groups,rate of complication was lower in bilateral approach groups than middle approach groups, fineness rate of knee joint function was identical between bilateral approach groups and middle approach groups.Conclusion Bilateral approach was heipful for decreasing complication on complex fracture of tibial plateau,improving postoperative recovery of knee joint fuctions,and could be take according private skill in clinic.