The value of medial approach in the treatment of posterior medial tibial fractures
10.3760/cma.j.issn.1008-6706.2015.20.001
- VernacularTitle:经内侧入路治疗胫骨平台后内侧骨折的疗效分析
- Author:
Fei XUE
;
Weijun QU
- Publication Type:Journal Article
- Keywords:
Tibial fracture;
Fracture fixation,internal
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(20):3041-3043
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of medial approach in the treatment of posterior tibial plateau fractures.Methods 60 cases with posterior tibial plateau fractures were randomly divided into observation group and control group.The observation group was operated by medial approach,and the control group was operated by medial approach.Results The operation time of the observation group was (138.4 ±18.2)min,which of the con-trol group was (119.2 ±15.8)min,the difference between the two groups was statistically significant(t =4.363,P <0.01).The excellent and good rate of rehabilitation in the observation group was 96.7%,which was significantly higher than 83.3% of the control group (Z =2.237,P <0.05).The fracture healing time of the observation group was (14.5 ±3.3)weeks,which was significantly shorter than (17.9 ±3.6)weeks of the control group (t =3.813, P <0.01).The hospitalization time and incidence rate of complications had no statistically significant differences between the two groups (P >0.05).Conclusion The medial approach in the treatment of the posterior tibial plateau fractures has relatively small injury,reliable fixation,and good rehabilitation.It is one of surgical approaches which worthy of clinical consideration.
