经内侧入路治疗胫骨平台后侧骨折的手术疗效分析

Operation curative effect analysis of medial approach in the treatment of tibial plateau posterior fracture

目的:观察经内侧入路方法治疗胫骨平台后侧骨折的临床效果。方法:2012年6月-2014年6月收治胫骨平台后侧骨折患者96例,通过随机数表法将患者分为A1组与A2组。A2组(48例)给予传统入路的内固定;A1组(48例)给予经内侧入路的内固定;对比两组的临床疗效、不良反应以及Lysholms评分等。结果:A1组总有效率97.92%,A2组总有效率72.92%,A1组明显高于A2组(P<0.05)。A1组不良反应率4.17%,A2组不良反应率20.00%,A1组明显低于A2组(P<0.05)。结论:经内测入路方法治疗胫骨平台后侧骨折患者,临床治疗有效率显著提高,临床不良反应发生率显著降低,临床预后质量获得有效提高。

Objective:To observe the clinical effect of medial approach method in the treatment of tibial plateau posterior fracture.Methods:96 patients with tibial plateau posterior fracture were selected from June 2012 to June 2014.Through the random number table method,the patients were divided into A1 group and A2 group.A2 group(48 cases) were given the traditional approach internal fixation.A1 group(48 cases) were given the medial approach internal fixation.The clinical curative effects,adverse reactions and Lysholms scores of two groups were compared.Results:The total effective rate of A1 group was 97.92%;the total effective rate of A2 group was 72.92%;A1 group was significantly higher than A2 group(P<0.05).The probability of adverse reactions in A1 group was 4.17%;the probability of adverse reactions in A2 group was 20.00%;A1 group was significantly lower than A2 group(P<0.05).Conclusion:The medial approach method treated patients with tibial plateau posterior fracture,the clinical treatment effective rate is significantly increased.The occurrence rate of clinical adverse reaction is significantly reduced.The clinical prognosis quality obtains effectively improved.