苗本宽 余润泽

    [摘要] 目的 探討不同术式在最佳时间内对复杂性胫骨平台合并膝关节周围软组织损伤的效果。 方法 回顾性分析安徽省第二人民医院在2013年10月～2017年9月收治的60例复杂胫骨平台患者的临床资料，按照治疗方法不同分为A组和B组，每组各30例。A组采用前内侧切口，B组采用前外侧和后内侧联合切口，均于骨折后6～7 d最佳手术时间内实施手术。观察并比较两组患者手术时间、术中平均出血量、术后感染率和引流量、切口愈合不良率、皮肤缺血坏死率及术后关节周围软组织恢复有效率。 结果 两组患者手术时间比较，差异无统计学意义(P > 0.05)；A组出血量、术后引流量均低于B组，差异有统计学意义(P 0.05)。B组膝关节评分系统有效率高于A组，差异有统计学意义(P < 0.05)。 结论 复杂胫骨平台骨折合并膝关节周围软组织损伤在伤后最佳时间内采用前外侧和后内侧联合切口术式，可促进患者快速康复，降低术后并发症发生率，值得临床进一步推广应用。

    [关键词] 复杂胫骨平台骨折；周围软组织损伤；内固定；康复锻炼

    [中图分类号] R683.42 [文献标识码] A [文章编号] 1673-7210(2018)02(c)-0075-05

    The efficacy of different surgical methods on the complicated tibial plateau fracture combined with soft tissue injury around the knee joint in the optimal time

    MIAO Benkuan YU Runze

    Department of Orthopaedics， Second People's Hospital of Anhui Province， Anhui Province， Hefei 340000， China

    [Abstract] Objective To investigate the efficacy of different surgical methods on the complicated tibial plateau fracture combined with soft tissue injury around the knee joint in the optimal time. Methods From October 2013 to September 2017， clinical data of 60 patients with complicated tibial plateau fracture combined with soft tissue injury around the knee joint treated in the Second People's Hospital of Anhui Province were retrospectively analyzed and divided into group A and group B by different surgical methods ......