摘要
背景:目前,对于膝关节复合伤的治疗临床主要采取一期手术或分期治疗的方式,但对于两者临床疗效的对比研究,却鲜有报道。目的目的:对比研究膝关节复合伤一期手术与分期处理的临床疗效。方法:选取2012年7月至2014年8月收治膝关节复合伤患者38例,随机分为A组(一期手术组)和B组(分期处理组),每组19例,其中A组采取一期手术同时进行骨折复位、固定、交叉韧带重建以及半月板修复等;B组在入院后先予以骨折复位、固定,并修复关节外韧带结构,待关节活动恢复正常或接近正常时行前、后交叉韧带重建及半月板修复或修整。观察比较两组患者的手术时间、外固定时间、局部创伤、耗材费用以及膝关节功能。结果结果:B组手术时间、外固定时间、治疗费用以及局部创伤率均显著低于A组(P<0.05)。结论结论:与一期手术比较,分期处理可有效缩短手术时间、减少内植物的使用,降低治疗费用,减少感染,对患者膝关节功能恢复有一定优势。
Background： At present, the combined injury of the knee is mainly treated by one-stage or staged operation, but there are few reports on the clinical efficacy of the treatments. Objective： To compare the clinical outcome between one- stage operation and staged operation the combined injury of knee joint. Methods： Totally 38 patients with combined injury of the knee treated from July 2012 to August 2014 were enrolled in this study. One-stage operation including reduction, fixa- tion and reconstruction of the anterior cruciate ligament and meniscus repair was performed in 19 patients （group A）. Anteri- or and posterior cruciate ligament reconstruction and the repair or dressing of the meniscus was done in 19 patients of group B after the joint function returned to be normal by fracture reduction and fixation. Operation time, external fixation time, lo- cal trauma, costs and knee joint function were compared between two groups. Results： The operation time, external fixation time, treatment cost and incidence of local trauma of group B were significantly lower than those of group A （P〈0.05）. Con- clusions： Compared with one-stage operation, staged operation can effectively shorten operation time, reduce the use of im- plants and treatment costs, and decrease the incidence of infection.
出处
《中国骨与关节外科》
2016年第5期411-413,共3页
Chinese Journal of Bone and Joint Surgery
基金
河北省医学科学研究重点课题(编号:20130679)
关键词
膝关节
半月板
胫骨
Knee Joint
Menisci, Tibial
