前正中入路手术治疗严重胫骨平台骨折回顾性分析

Retrospective analysis of anterior median approach surgery in the treatment of severe fractures of tibial plateau

目的:探讨前正中入路于严重胫骨平台骨折治疗中的疗效。方法:2011年1月-2013年12月收治胫骨平台骨折患者32例作为观察组,采用前正中入路治疗。2011年1月前行内外侧联合入路治疗胫骨平台骨折患者42例作为对照组。比较两组的手术时间、术后组织坏死、感染等情况。结果:观察组手术时间、术后皮肤坏死发生率均低于对照组,差异有统计学意义(P<0.05)。观察组感染发生率显著低于对照组,差异有统计学意义(P<0.01)。结论:前正中入路在复杂胫骨平台骨折手术治疗中对周围组织损伤较小,能够减少皮肤坏死及组织感染的发生率。

Objective:To explore the curative effect of anterior median approach surgery in the treatment of severe fractures of tibial plateau.Methods:32 patients with fractures of tibial plateau from January 2011 to December 2013 as the observation group were treated with anterior median approach surgery.42 patients with fractures of tibial plateau before January 2011 as the control group were treated with medial joint lateral approach surgery.The operation time,postoperative tissue necrosis and infection of the two groups were compared.Results:The operation time,postoperative skin necrosis incidence of the observation group were all lower than those of the control group,and the differences were statistically significan(P<0.05).The infection rate of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.01).Conclusion:Anterior median approach urgery does few damages to the surrounding tissues in the treatment of fractures of tibial plateau and reduces the risk of skin necrosis and infection.