改良后外侧入路外侧钢板固定治疗胫骨平台后外侧骨折

Treatment of Posterolateral Tibial Plateau Fractures with Modified Posterolateral Approach and Lateral Plate Fixation

目的探讨改良后外侧入路外侧钢板固定治疗胫骨平台后外侧骨折的临床效果。方法选择该院2015年9月—2017年11月收治的胫骨平台后外侧骨折患者15例为研究样本,采取改良后外侧入路外侧钢板固定治疗,观察患者治疗效果。结果患者手术时间(85.27±4.25)min,骨折愈合时间(17.21±2.34)周,完全负重时间(17.19±2.26)周,膝关节总屈伸度(116.32±3.23)°,HSS评分(84.52±3.48)分,优良率为93.33%,包括优13例,良1例,可1例。结论改良后外侧入路外侧钢板固定治疗胫骨平台后外侧骨折具有创伤小、暴露清楚,内固定钢板安放便捷等优势,且复位效果良好,可作为临床理想术式。

Objective To investigate the clinical effect of modified posterolateral approach and lateral plate fixation in the treatment of posterolateral tibial plateau fractures.Methods Fifteen patients with posterolateral tibial plateau fractures admitted to our hospital from September 2015 to November 2017 were selected as study samples.The patients were treated with improved posterolateral approach lateral plate fixation,and the therapeutic effect was observed.Results The operation time was(85.27±4.25)minutes,the fracture healing time was(17.21±2.34)weeks,the complete weight-bearing time was(17.19±2.26)weeks,the total knee flexion and extension was(116.32±3.23)degrees,and the HSS score was(84.52±3.48).The excellent and good rate was 93.33%,including 13 excellent cases,1 good case and 1 fair case.Conclusion Modified posterolateral approach lateral plate fixation for posterolateral tibial plateau fractures has the advantages of minimal trauma,clear exposure,convenient placement of internal fixation plate,and good reduction effect,which can be used as an ideal clinical operation.