胫骨平台后侧骨折的手术治疗

目的：探讨对于胫骨平台后侧骨折患者的手术治疗方法及治疗效果。方法：选取本院2010年4月至2012年1月间采用手术治疗的胫骨平台后侧骨折患者23例设为治疗组，本组所有患者均采用后外侧入路的内固定手术治疗方法。另选取同期采用保守治疗的胫骨平台后侧骨折患者20例设为对照组。两组患者治疗后均获得12个月以上的随访。针对两组患者治疗后骨愈合时间、膝关节功能评分以及治疗总有效率等情况进行回顾性对比分析。结果：所有两组患者经治疗后，治疗组患者骨愈合时间明显低于对照组（P〈0．05），其结果具有统计学意义。且经随访后，治疗组患者膝关节功能评分显著高于对照组（P〈0．05）。而两组患者经综合评价其治疗总有效率对比差异也具有显著性（P〈0．05），且结果具有统计学意义。结论：对于胫骨平台后侧骨折患者采用后外侧入路的内固定手术治疗拥有显著的临床疗效。此术式具有对骨折部位起到很好的显露及复位稳定等优点，且在治疗效果及患者膝关节功能恢复情况等方面明显优于其它治疗方式。故此方法安全、有效，不失为治疗胫骨平台后侧骨折的首选治疗方法。

Tibia Platform Back Side Fracture Surgery

Objective： To investigate a fracture surgery methods for tibia platform back side fracture and treatment effect. Methods： 23 cases of tibia platform back side fracture treated with internal fixation surgery method form 2010 April to 2012 January were selected for treatment group. The other 20 cases of tibia platform back side fracture with conservative treatments were selected as control group. Two groups of patients after treatment has obtained more than 12 months of follow-up. Bone healing time, knee joint function score and total effective rate of treatment in the two groups were retrospectively compared and analyzed. Results： After treatment, bone healing time of patients in the treatment group was significantly lower than that in the control group （P 〈 0.05）, and the result has statistical significance. And after the follow-up, knee function score of the treatment group is significantly higher than that in control group （P 〈 0.05）. And the total effective rate contrast differences of the comprehensive evaluation of the treatment with also has significant （P〈 0.05）, thus the results have a statistics meaning. Conclusion： The side lateral approaches of internal fixation surgery has significant clinical curative effect on patients with tibia platform back side fracture after. The operation has very good effect and reset stability, and knee effect and fimction recovery for treating patients, and is significantly better than other treatments. This method is safe, effective and discomfort for the treatment of tibia platform back side fracture, thus is the preferred method of treatment.