【摘要】 目的探讨后侧入路治疗胫骨平台后髁骨折的手术方法。方法8例胫骨平台后髁骨折的患者,采用后内侧或后外侧入路切开复位内固定治疗。结果8例均获随访,随访时间5～26个月,平均13个月。患者膝关节功能评定按Hohl评分标准:优6例,良2例。复查X线片:骨折复位良好,关节面未见明显塌陷。结论后侧入路较前侧入路能更充分地暴露胫骨平台后髁,提供了更广阔的操作空间,有利于骨折的复位内固定。更多还原

【Abstract】 Objective To discuss the treatment of the posterior condylar tibial plateau fracture through posterior approach.Methods Eight patients with this kind of fracture were treated through posterior medial or lateral approach.Lateral condyle fractures in 5,medial condyle fracture in 1 and bilateral condyle fractures in 2 cases.Results All patients were followed up for 5-26 months with a average of 13 months.According to Hohl score of the knee joint function,excellent: 6 cases;good: 2 cases.In X-ray images: the reduction of all cases were fine,without joint surface collapses.Conclusion The posterior approach can be more exposed tibial plateau latera l Condyle and provide a wider operating space which is conducive to the fracture reduction and internal fixation.更多还原