CAJ | 학술논문

目的：探讨经后外侧入路治疗胫骨平台后外侧骨折的临床效果。方法选取本院2012年3月~2013年11月收治的胫骨平台后外侧骨折患者64例为观察对象，随机分为观察组与对照组，每组32例，观察组行经后外侧入路治疗，对照组行前外侧入路治疗，观察两组的骨折愈合情况、Rasmussen放射评分、膝关节功能恢复情况及并发症情况。结果所有患者均经6~12个月随访，骨折愈合率为100%。观察组的Rasmussen放射评分、HSS评分均高于对照组，并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论经后外侧入路治疗胫骨平台后外侧骨折的效果确切，其是较理想的入路方式。
목적：탐토경후외측입로치료경골평태후외측골절적림상효과。방법선취본원2012년3월~2013년11월수치적경골평태후외측골절환자64례위관찰대상，수궤분위관찰조여대조조，매조32례，관찰조행경후외측입로치료，대조조행전외측입로치료，관찰량조적골절유합정황、Rasmussen방사평분、슬관절공능회복정황급병발증정황。결과소유환자균경6~12개월수방，골절유합솔위100%。관찰조적Rasmussen방사평분、HSS평분균고우대조조，병발증발생솔저우대조조，차이유통계학의의(P<0.05)。결론경후외측입로치료경골평태후외측골절적효과학절，기시교이상적입로방식。
Objective To analyze the clinical effect of via posterior lateral approach in the treatment of posterolateral fracture of tibial plateau. Methods 64 patients with posterolateral fracture of tibial plateau accepted treatment in our hospital from March 2012 to November 2013 were selected as the research objects and randomly divided into observa-tion group and control group,32 patients in each group.The posterior lateral approach treatment was used in observation group and antero lateral approach treatment was applied in control group.The situation of fracture healing,the score of Rasmussen radiation,the situation of function recovery of knees and the complication between two groups were ob-served. Results According to the followed-up visit from 6 months to 12 months for these cases,the rate of fracture healing was 100%.Rasmussen radiation score and HSS score of observation group was higher than that of control group respectively,the occurrence rate of complication in observation group was lower than that in control group,with statisti-cal difference (P<0.05). Conclusion The effect on via posterior lateral approach in the treatment of posterolateral frac-ture of tibial plateau is exact.It is an ideal approach.