CAJ | 학술논문

目的:分析比较传统切口加普通高尔夫钢板与解剖锁定板联合微创固定技术在治疗胫骨外侧平台骨折的临床疗效. 方法:回顾分析2010年1月至2013年12月收治胫骨外侧平台骨折患者100例 ,其中对照组49 例采用传统切口加普通高尔夫钢板治疗 ,观察组51例采用解剖锁定板联合微创技术治疗.术后随访9~15个月 ,比较分析两组患者的手术时间、骨折愈合时间、术后并发症及术后功能恢复情况.结果:观察组手术时间、骨折愈合时间短于对照组(P <0.05),术后并发症少(P < 0.05),但两组术后功能恢复情况比较差异无统计学意义( P >0 .05 ).结论:解剖锁定板联合微创技术治疗胫骨外侧平台骨折具有优势 ,该方法局部组织创伤小 ,软组织破坏少 ,能有效保留骨折周围血液循环 ,手术切口愈合快 ,有利于早起功能锻炼 ,恢复关节功能.
목적:분석비교전통절구가보통고이부강판여해부쇄정판연합미창고정기술재치료경골외측평태골절적림상료효. 방법:회고분석2010년1월지2013년12월수치경골외측평태골절환자100례 ,기중대조조49 례채용전통절구가보통고이부강판치료 ,관찰조51례채용해부쇄정판연합미창기술치료.술후수방9~15개월 ,비교분석량조환자적수술시간、골절유합시간、술후병발증급술후공능회복정황.결과:관찰조수술시간、골절유합시간단우대조조(P <0.05),술후병발증소(P < 0.05),단량조술후공능회복정황비교차이무통계학의의( P >0 .05 ).결론:해부쇄정판연합미창기술치료경골외측평태골절구유우세 ,해방법국부조직창상소 ,연조직파배소 ,능유효보류골절주위혈액순배 ,수술절구유합쾌 ,유리우조기공능단련 ,회복관절공능.
Objective:To compare and analysis the clinical effects of the conventional incision using ordinary golf steel plate and mini-mally invasive techniques combined with dissection locKing plate in the treatment of lateral tibial plateau fractures .Methods :The clinical data of 100 patients with lateral tibial plateau fractures enrolled from January 2010 to December 2013 were retrospectively analyzed .In the control group ,49 cases were treated with conventional incision plus ordinary golf steel plate .The observation group of 51 cases re-ceived anatomical locKing plate combined with minimally invasive treatment .Patients were followed up for 9~15 months after the surger-y .The operation time ,fracture healing time ,postoperative complications and functional recovery of the two groups were compared and analyzed between the two groups .Results :The operation time and fracture healing time of the observation group were shorter than that of the control group( P <0 .05) ,and the postoperative complications of the former group were fewer ( P <0 .05) ,but the functional re-covery of the two groups was not of statistically significant difference ( P > 0 .05) .Conclusion:Minimally invasive technique combined with dissection locKing plate is an advantageous way to treat lateral tibial plateau fractures ,for it provides effective protection of blood cir-culation around the fracture sites with smaller local tissue trauma and less soft tissue destruction ,while it is helpful for fast healing of in-cision ,early function exercises and good recovery of joint function .