doi:10．3969/j．issn．1008-0287．2023．03．037·临床论著·腓骨头上入路锁定加压钢板治疗胫骨平台后外侧髁骨折郭亮，徐广，夏欣，姜岳武摘要:目的探讨腓骨头上入路胫骨近端锁定加压钢板治疗胫骨平台后外侧髁骨折的临床疗效。方法采用腓骨头上入路胫骨近端锁定加压钢板治疗25例胫骨平台后外侧髁骨折患者。记录骨折愈合情况及并发症发生情况，末次随访根据Ｒasmussen评分系统评价膝关节功能。结果患者均获得随访，时间6～24个月。骨折愈合时间9～12周。未发生切口感染、神经损伤、骨折移位及内固定松动或断裂等并发症。末次随访时根据Ｒasmussen评分系统评价膝关节功能:优17例，良6例，可2例，优良率23/25。结论腓骨头上入路胫骨近端锁定加压钢板治疗胫骨平台后外侧髁骨折操作简单，空间显露充分，固定安全有效，可取得满意的治疗效果。关键词:胫骨平台骨折;后外侧髁;腓骨头上入路;骨折内固定中图分类号:Ｒ683.42;Ｒ687.32文献标识码:A文章编号:1008－0287(2023)03－0425－04Treatmentofposterolaterecondylarfractureoftibialplateaubysupra-fibular-headapproachcombinedwithlockingcompressionplateGUOLiang，XUGuang，XIAXin，JIANGYue-wu(DeptofOrthopaedics，thePeople'sHospitalofJiangshanCity，Jiangshan，Zhejiang324100，Chi-na)Abstract:ObjectiveToexploretheclinicalefficacyofsupra-fibular-headapproachproximaltibiallockingcom-pressionplateforposterolateralcondylefractureofthetibialplateau．MethodsThe25patientswithtibialplateauposterolateralcondylefractureswereadoptedwithsupra-fibular-headapproachproximaltibialcompressionlockingplate，andthefracturehealingsituationandtheoccurrenceofcomplicationswererecorded，kneejointfunctionwasevaulatedaccordingtoＲasmussenscoringsystematthelastfollow-up．ＲesultsThepostoperativefollow-uptimewas6～24monthsinallpatients．Thefracturehealingtimewas9～12weeks．Therewasnocomplicationsuchaswoundinfection，nerveinjuryorfracturedisplacement，andtheinternalfixationlooseningorfractureduringthefollow-uppe-riod，andthekneejointfunctionevaluatedwithＲasmussenscoringsystematthelastfollow-up:17caseswereexcel-lent，6good，2fair，theexcellent-goodratewas23/25．ConclusionsInthetreatmentofposterolateralcondylefrac-tureoftibialplatea...
