摘要
目的探讨内固定手术联合术后康复训练干预治疗胫骨平台骨折的疗效。方法胫骨平台骨折病人50例,随机分为观察组和对照组,每组各25例,对照组病人采用内固定手术联合自主康复治疗,观察组病人采用内固定手术联合术后康复训练治疗。并在术后3、6、12个月采用膝关节功能评分系统(hospital special surgery,HSS)评估患肢膝关节的功能,测量对比胫骨平台内翻角(tibial plateau,TPA)和后倾角(posterior slopeangle,PA)的度数和临床疗效。结果两组病人术后3、6、12个月随访,观察组病人HSS评分改善程度均显著高于对照组,两组比较差异有统计学意义(P <0. 05);观察组与对照组病人术后3、6、12个月TPA均呈下降趋势,虽两组差异无统计学意义(P> 0. 05),但观察组下降幅度高于对照组;两组病人PA均呈上升趋势,虽观察组上升幅度高于对照组,但差异无统计学意义(P> 0. 05);观察组病人术后总有效率显著高于对照组总有效率,差异具有统计学意义(P <0. 05)。结论内固定手术联合术后康复训练能有效改善病人关节功能,对病人预后效果良好。
Objective Clinical analysis of the effect of internal fixation combined with postoperative rehabilitation training on tibial plateau fractures.Methods Fifty patients with tibial plateau fractures were randomly divided into observation group and control group,25 cases in each group.Patients in control group were treated with internal fixation combined with independent rehabilitation.Patients in observation group Internal fixation combined with postoperative rehabilitation training.The knee joint function was assessed by knee function scoring system(HSS)at 3,6,and 12 months after operation.The degree and clinical efficacy of tibial plateau varus(TPA)and rake angle(PA).Results Both groups were followed up for 3,6 and 12 months after operation,and the improvement rate of HSS score in observation group was significantly higher than that in control group(P<0.05);the TPA of the observation group and the control group had a decreasing trend at 3,6 and 12 months after operation,although there was no significant difference between the two groups(P>0.05),but the decrease of the observation group was higher than that of the control group[ the two groups of patients showed an upward trend in PA,the increase in the age group was higher than that in the control group,but the difference was not statistically significant(P>0.05);the total effective rate in the observation group was significantly higher than that of the control group,the result was statistically significant(P<0.05).Conclusion HSS score,TPA,PA were significantly better than traditional open surgery combined with independent rehabilitation treatment after internal fixation operation combined with postoperative rehabilitation training,internal fixation combined with postoperative rehabilitation effective in improving patient's joint function,the prognosis of patients with good.
作者
刘海峰
赵小强
潘飞龙
LIU Haifeng;ZHAO Xiaoqiang;PAN Feilong(Department of Orthopedics,Changzhou Wujin people's Hospital,Changzhou 213000,China)
出处
《临床外科杂志》
2018年第11期874-877,共4页
Journal of Clinical Surgery
关键词
内固定手术
术后康复训练
干预治疗
胫骨平台骨折
internal fixation surgery
postoperative rehabilitation training
intervention treatment
tibial plateau fracture
