CAJ | 학술논문

目的：探讨双钢板内固定治疗胫骨平台复杂性骨折的临床效果。方法回顾性分析39例采用双钢板内固定治疗的Schatzker吁型、遇型胫骨平台骨折，术后随访12~30个月，采用Rasmussen评分标准评定膝关节功能。结果术后塌陷(后髁)1例，余无内固定失败病例，术后膝关节功能优良率89.74%。结论双钢板内固定是目前治疗胫骨平台复杂性骨折比较理想的方法，愈合率高，并发症少。
목적：탐토쌍강판내고정치료경골평태복잡성골절적림상효과。방법회고성분석39례채용쌍강판내고정치료적Schatzker우형、우형경골평태골절，술후수방12~30개월，채용Rasmussen평분표준평정슬관절공능。결과술후탑함(후과)1례，여무내고정실패병례，술후슬관절공능우량솔89.74%。결론쌍강판내고정시목전치료경골평태복잡성골절비교이상적방법，유합솔고，병발증소。
Objective To investigate the clinical effect of double plate internal fixation for the treatment of complex tibial plateau fractures. Methods 39 cases of Schatzker type V, VI tibial plateau fracture treated with double steel plate fixation were postopera-tively followed-up for 12-30 months, using the Rasmussen score to evaluate knee joint function. Results Postoperative collapse (posterior condylar) occurred in 1 case, but no other internal fixation failure cases after operation were found. The excellent and good rate of knee joint function was 89.74%. Conclusion With high healing rate and less complications, double plate internal fixa-tion is an ideal method in the treatment of complex tibial plateau fractures.