Shuaishuai Wang, Minglei Zhang, Yue Yu, Dapeng Wang, Tongtong Zhu, Huimin Liu
Department of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun, China.
Department of Orthopedics, Siping Central Hospital, Siping, China.
Front Bioeng Biotechnol. 2023 Feb 17;11:1150541. doi: 10.3389/fbioe.2023.1150541. eCollection 2023.
To investigate the therapeutic efficacy of the modified posterolateral approach on tibial plateau fractures. Forty-four patients with tibial plateau fractures were enrolled in the study and divided into two groups-control and observation-according to the different surgical procedures. The control group underwent fracture reduction the conventional lateral approach, while the observation group underwent fracture reduction the modified posterolateral strategy. The depth of tibial plateau collapse, active mobility, and the Hospital for Special Surgery (HSS) score and Lysholm score of the knee joint at 12 months after surgery were assessed in comparison to the two groups. The amount of blood loss ( < 0.01), duration of surgery ( < 0.05), and depth of tibial plateau collapse ( < 0.001) were significantly less in the observation group compared with the control group. In addition, compared with the control group, the observation group exhibited significantly better knee flexion and extension function and significantly higher HSS and Lysholm scores at 12 months after surgery ( < 0.05). The modified posterolateral approach for posterior tibial plateau fractures has less intraoperative bleeding and a shorter operative time compared with the conventional lateral approach. It also effectively prevents postoperative tibial plateau joint surface loss and collapse, promotes the recovery of knee function, and has few postoperative complications and good clinical efficacy. Thus, the modified approach is worth promoting in clinical practice.
探讨改良后外侧入路治疗胫骨平台骨折的疗效。44例胫骨平台骨折患者纳入本研究，根据不同手术方式分为对照组和观察组。对照组采用传统外侧入路进行骨折复位，观察组采用改良后外侧入路进行骨折复位。比较两组术后12个月时胫骨平台塌陷深度、膝关节主动活动度以及膝关节特殊外科医院（HSS）评分和Lysholm评分。与对照组相比，观察组术中失血量（<0.01）、手术时间（<0.05）和胫骨平台塌陷深度（<0.001）明显更少。此外，与对照组相比，观察组术后12个月时膝关节屈伸功能明显更好，HSS评分和Lysholm评分明显更高（<0.05）。与传统外侧入路相比，改良后外侧入路治疗胫骨平台后外侧骨折术中出血更少，手术时间更短。它还能有效防止术后胫骨平台关节面丢失和塌陷，促进膝关节功能恢复，术后并发症少，临床疗效良好。因此，改良入路在临床实践中值得推广。
