探讨后侧入路手术治疗46例胫骨平台后柱骨折的临床治疗效果

The Clinical Effect of Posterior Approach Surgery in the Treatment of 46 Cases of Posterior Tibial Plateau Fractures

目的探讨后侧入路手术治疗胫骨平台后柱骨折的临床效果。方法选取我院2011年6月-2015年11月收治的46例胫骨平台后柱骨折患者为研究对象,所有患者均接受后侧入路手术治疗,对46例患者的临床资料进行回顾性分析,观察并探讨后侧入路手术治疗胫骨平台后柱骨折的临床治疗效果。结果 46例患者经过手术治疗后,骨折均愈合,且无1例出现血管神经损伤;在愈合参数方面,术后各时间段内的差异无统计学意义（P〉0.05）。结论后侧入路手术治疗胫骨平台后柱骨折的临床效果较为理想,可有效改善膝关节功能。

Objective To investigate the clinical effect of posterior approach in the treatment of posterior tibial plateau fractures. Methods In our hospital,46 cases of posterior column tibial plateau fracture patients were selected as the research object from June 2011 to November 2015,all patients underwent posterior approach surgical treatment,the clinical data of 46 patients were analyzed retrospectively,to observe and discuss the clinical effect of posterior approach surgical treatment of tibial plateau posterior column fracture. Results 46 patients after surgical treatment,fracture healing,and no vascular nerve injury occurred in 1 cases,and in the parameters of the healing,there was no significant difference in the time period after the operation（P〉0.05）. Conclusion The clinical effect of posterior approach surgery in the treatment of posterior column fracture of tibial plateau is ideal,which can effectively improve the knee function.