摘要
目的探讨两种手术入路治疗复杂胫骨平台骨折的临床效果。方法 76例复杂胫骨平台骨折患者中39例采用膝正中入路,37例采用双切口入路,均用双钢板固定,同时术中充分植骨。术后早期膝关节伸屈功能锻炼。结果膝正中入路组出现9例伤口感染及7例皮瓣坏死;双切口入路组出现2例伤口感染。参照Rasmussen评分标准:膝正中入路组优良率为64.1%,双切口入路组优良率达86.4%。结论治疗复杂胫骨平台骨折,膝正中入路组术后并发症发生率高于双切口入路组,进而影响膝关节功能恢复。
Objective To analyze the results of treatment of complicated tibial plateau fractures with two different incisions.Methods 76 patients with complicated tibial plateau fractures underwent internal fixation with bilateral plates.39 patients were treated with median incision of the knee joint and 37 patients were treated with bilateral incision of the knee joint.Sufficient bone grafting was performed during operation.Functional exercise of extension and flexion of the knee joint was performed early postoperatively.Results The infection of wound occurred in 9 patients in the team of median incision of the knee joint and occurred in 2 patients in the team of bilateral incision.There are 7 patients who underwent skin flap necrosis in the team of median incision of the knee joint.According to Rasmussen score standard,the excellent and good rate was 64.1% in the team of median incision of the knee joint and was 86.4% in the team of bilateral incision.Conclusions To treat complicated tibial plateau fractures,the median incision approach has more complications than the bilateral incision approaches,which thus influences functional recovery of the knee joint.
出处
《临床骨科杂志》
2010年第6期644-646,共3页
Journal of Clinical Orthopaedics
关键词
胫骨骨折
膝损伤/外科学
tibial fractures
knee injuries/surgery
