摘要
目的:探讨前后联合入路双钢板内固定术对胫骨平台骨折患者Rasmussen评分、ROM及感染发生率的影响。方法:选取2014年3月-2018年12月本院收治的40例胫骨平台骨折患者为研究对象。采用随机数字表法将其分为对照组和观察组,每组20例。对照组采用膝正中切口入路内固定治疗,观察组采用前后联合入路双钢板内固定术治疗。比较两组患者术中出血量、手术时间、住院时间及骨折愈合时间,膝关节优良率、膝关节活动度(ROM)以及反复起坐实验(CRT)时间;同时记录两组术后感染的发生情况。结果:观察组患者手术时间长于对照组,骨折愈合时间短于对照组(P<0.05);两组术中出血量以及住院时间比较,差异均无统计学意义(P>0.05);观察组患者膝关节优良率90.00%明显高于对照组的55.00%(P<0.05);观察组患者ROM明显大于对照组,CRT时间明显短于对照组(P<0.05);对照组患者术后感染率为5.00%,观察组患者术后感染率为15.00%,两组比较差异无统计学意义(P>0.05)。结论:采用前后联合入路双钢板内固定术治疗胫骨平台骨折患者,临床效果明确,关节功能恢复好,但需要避免发生术后感染。
Objective:To investigate the effect of anterior and posterior combined double plate internal fixation on Rasmussen score,ROM and infection rate of tibial plateau fracture.Method:A total of 40 patients with tibial plateau fracture admitted to our hospital from March 2014 to December 2018 were selected as the study objects.The patients were divided into control group and observation group by random number table method,with 20 cases in each group.The control group was treated with medial knee incision internal fixation,while the observation group was treated with anterior and posterior combined double plate internal fixation.Intraoperative blood loss,operative time,hospital stay,fracture healing time,excellent and good rate of knee joint,knee joint range of motion(ROM)and time of chair rising test(CRT)were compared between the two groups,the incidence of postoperative infection was also recorded and compared between the two groups.Result:The operation time of the observation group was longer than that of the control group,and the fracture healing time was shorter than that of the control group(P<0.05).There were no significant differences between the two groups in intraoperative bleeding and hospital stay(P>0.05).The excellent and good knee rate of the observation group was 90.00%,higher than 55.00% of the control group(P<0.05).ROM in the observation group was significantly larger than that in the control group,and CRT time was significantly shorter than that in the control group(P<0.05).The postoperative infection rate was 5.00% in the control group and 15.00% in the observation group,with no statistically significant difference between the two groups(P>0.05).Conclusion:The treatment of tibial plateau fracture with anterior and posterior combined double-plate internal fixation has clear clinical effect,better recovery of joint function,however,postoperative infection should be avoided.
作者
朱寅
徐兴明
沈为苟
吴健强
吴骏
ZHU Yin;XU Xingming;SHEN Weigou;WU Jianqiang;WU Jun(Integrated Traditional Chinese and Western Medicine of Suzhou Hospital,Suzhou 215000,Chi)
出处
《中国医学创新》
CAS
2019年第35期13-16,共4页
Medical Innovation of China
关键词
胫骨平台骨折
前后联合入路
膝关节功能
Tibial plateau fracture
Anterior and posterior combined approach
Knee joint function
