经腓骨截骨入路治疗胫骨平台后外侧骨折的应用效果分析

The fibula bone cutting into the road after the treatment of tibial plateau fracture of the lateral analysis of application effect

目的：分析经腓骨截骨入路治疗胫骨平台后外侧骨折的临床效果。方法选择2012年1月～2013年9月我院收治的114例胫骨平台后外侧骨折患者作为研究对象，分为观察组及对照组，观察组为经腓骨截骨入路治疗，对照组为前外侧入路。结果观察组患者的骨折愈合时间为（12.97±3.04）周，对照组为（16.34±7.91）周，观察组患者的骨折愈合时间短于对照组（P〈0.05）；膝关节X线表现评分及关节功能的优良率方面，观察组分别为92.98%、98.25%，对照组仅为78.95%、87.72%，组间比较具有显著性差异（P〈0.05）。结论经腓骨截骨入路治疗胫骨平台后外侧骨折的临床效果显著，可推广使用。

Objective To analyze the clinical results of fibular osteotomy in treatment of tibial plateau fibular osteotomy fracture. Methods A total of 114 cases in our hospital were divided into two groups and the control group, treatment group was observed by the fibular osteotomy treatment, the control group was anterolateral approach. Results The group of patients with fracture healing time was（12.97±3.04）weeks,the control group（16.34±7.91）weeks,the healing time was shorter observation group than the control group （P〈0.05）;in knee X-ray score and the excellent rate of joint function,the observation group was 92.98%, 98.25%respectively, the control group was only 78.95%, 87.72%,with sig-nificant difference between the two groups （P〈0.05）. Conclusion The clinical results after treatment of fibular osteoto-my lateral tibial plateau fracture significantly,can be widely used.