双切口内固定治疗胫骨平台骨折的临床疗效分析

目的：评价双切口与正中单切口内固定治疗胫骨平台骨折的疗效。方法：从2004年1月至2010年8月对40例胫骨平台骨折患者,采用分两组切口内固定术,同时骨缺损处植骨治疗。结果：40例获得随访,随访时间12个月-6年,双切口较正中单切口内固定治疗胫骨平台骨折的疗效优良率明显增高。结论：高能量损伤所引起的胫骨平台骨折常致平台压缩、塌陷和劈裂,严重影响关节功能。传统的正中单切口治疗方法治疗非常困难,而且效果不好。采用双切口内固定治疗胫骨平台骨折,可做到解剖复位、牢固固定、早期功能锻炼,疗效满意。

The Curative Effect of the two-incision and Median Single-incision Internal Fixation for the Treatment of Tibial Plateau Fracture

Objective： To discuss the curative effect of the two-incision and median single-incision internal fixation for the treatment of tibial plateau fracture.Method： 40 cases of tibial plateau fracture from 2004 to 2010 were divided into the two-incision group and median single-incision internal fixationl group randomly.Result： All patients were followed up for 12-72 months.The excellent rate in the two-incision group was significantly higher than that in the median single incision internal fixation group.Conclusion： The high energy damage arising from the tibial fractures often induced platform compression,collapse and splitting,seriously affecting the joint function.Traditional median single incision treatment is very difficult and the effect is not good.The two-incision has the advantage of reliable fixation,fast bone union and less injury and is the optimal method for the treatment of tibial plateau fracture.