RESUMO
Objective To discuss the clinical effects of improved medial parapatellar approach in the treatment of posterior medial tibial plateau fracture( PMF-TP) . Methods 60 patients with PMF-TP were selected from June 2014 to June 2017 in our hospital;according to the surgical methods,all patients were divided into improved group (30 cases) and medial group (30 cases);the medial group was treated with routine medial approach, while the improved group was treated with improved medial parapatellar approach. The operation, complications, fracture reduction and knee joint function were compared between the two groups. The amount of bleeding,the incidence of complications and the operation,hospitalization,weight bearing exercise and fracture healing time of improved group were significantly lower than those in the after the operation, the knee flexion and extensional activity of improved group was significantly higher than that in the medial group,the difference was statistically significant(P<0. 05). The fracture re-duction and knee joint function excellent rate 6 months after operation of improved group were significantly higher than those in the medial group,the difference was statistically significant(P<0. 05). Results Compared with the posteromedial approach of the knee joint, the im-proved medial parapatellar approach features simple and safe operation. It is beneficial to early functional exercise, fracture reduction and re-habilitation of knee joint function.