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膝关节后外侧入路联合后内侧入路在胫骨平台后侧骨折治疗中的应用价值分析
Application Value of Posterolateral Knee Approach Combined with Posteromedial Approach in the Treatment of Posterior Tibial Plateau Fracture

吴玉成,李毅.膝关节后外侧入路联合后内侧入路在胫骨平台后侧骨折治疗中的应用价值分析[J].中国烧伤创疡杂志,2025,(3):222~225.

DOI：

英文关键词:Knee joint Tibial plateau Posteromedial knee approach Fracture Posterolateral knee approach

基金项目:

作者	单位
吴玉成	464300 河南信阳, 息县人民医院骨科
李毅	450014 河南郑州, 郑州大学第二附属医院骨科

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中文摘要:

【摘要】目的探讨分析膝关节后外侧入路联合后内侧入路在胫骨平台后侧骨折治疗中的应用疗效。方法选取 2021 年 4 月至 2023 年 4 月于息县人民医院接受手术治疗的 66 例胫骨平台后侧骨折患者作为研究对象, 按照术中不同入路方法将其分为观察组 (33 例) 和对照组 (33 例)。观察组患者在膝关节后外侧入路联合后内侧入路下进行内固定治疗, 对照组患者单纯在膝关节后外侧入路下进行内固定治疗, 对比观察两组患者术后膝关节及下肢功能恢复情况。结果术后3个月, 观察组患者膝关节功能恢复优良率、特种外科医院 (HSS) 膝关节功能总评分以及Lysholm各项评分与总分均明显高于对照组( χ 2 / t = 6.519、4.371、2.355、2.385、4.423、4.262、3.190、2.466、2.539、7.948、7.624, P = 0??011、P<0.001、P = 0.022、P = 0.020、P<0.001、P<0.001、P= 0.002、P= 0.016、P= 0.014、P<0.001、P<0.001)。结论于膝关节后外侧入路联合后内侧入路下进行内固定治疗胫骨平台后侧骨折, 更能通过准确复位骨折部位提高患者术后膝关节及下肢功能恢复质量。

英文摘要:

【Abstract】 Objective To analyze the application value of posterolateral knee approach combined with posteromedial approach in the treatment of posterior tibial plateau fracture. Methods 66 patients with posterior tibial plateau fractures, admitted to Xixian People’s Hospital for surgical treatment from April 2021 to April 2023 were enrolled as research subjects and then divided into the study group (n=33) and the control group (n=33) according to the different surgical approaches. Patients in the study group were treated with posterolateral knee approach combined with posteromedial approach for internal fixation, whereas patients in the control group were treated with posterolateral knee approach for internal fixation alone. Postoperative recovery of knee and lower limb function were compared between the two groups. Results On month 3 after surgery, the good and excellent rate of functional recovery of the knee joint, Hospital for Special Surgery (HSS) knee function score and the subscale and total scores of Lysholm of patients in the study group were all obviously higher than those in the control group ( χ 2 / t = 6.519, 4.371, 2.355, 2.385, 4.423, 4.262, 3.190, 2.466, 2.539, 7.948 and 7.624, P=0.011, P<0.001, P = 0.022, P = 0.020, P<0.001, P<0.001, P = 0.002, P = 0.016, P = 0.014, P<0.001, P< 0.001). Conclusion The combination of posterolateral knee approach and posteromedial approach for internal fixation of posterior tibial plateau fractures can improve postoperative recovery of the knee and lower limb function by accurately reducing the fracture site.