摘要
目的:对比前后联合双切口入路与膝前正中切口入路治疗复杂胫骨平台骨折效果。方法:选取2017年1月至2019年12月收治的90例复杂胫骨平台骨折患者为研究对象,随机分为联合双切口组和正中切口组,均进行钢板置入内固定治疗,联合双切口组行前后联合双切口入路,正中切口组行单纯膝正中切口入路,比较两组患者的膝关节功能恢复、手术指标、术后12个月膝关节活动度及并发症发生情况。结果:两组患者的手术时间分别为(113.78±30.01)min、(115.92±28.95)min,组间相比差异无统计学意义(P>0.05);联合双切口组术中出血量(310.67±43.20)mL,较正中切口组(254.20±45.11)mL增多(P<0.05);术后引流量(120.06±28.47)mL,较正中切口组(145.21±30.29)mL减少(P<0.05);骨折愈合时间(118.36±2.30)d较中切口组(155.20±2.17)d缩短(P<0.05);联合双切口组膝关节功能恢复优良率95.56%,高于正中切口组的80.00%(P<0.05);术后12个月联合双切口组膝关节屈膝度(110.27±8.20)°、伸膝度(1.75±0.23)°,均高于正中切口组的(98.24±8.15)°和(0.83±0.20)°(P<0.05);两组患者的并发症发生率分别为6.67%和11.11%,组间相比,差异无统计学意义(P>0.05)。结论:前后联合双切口手术入路治疗复杂胫骨平台骨折效果良好,复位更加满意,可促进膝关节功能和活动度恢复,且未增加并发症发生率,值得推广。
Objective:To compare and analyze the effect of combined front and rear double incision approach and anterior median incision approach in the treatment of complex tibial plateau fractures;Method:A total of 90 patients with complex tibial plateau fracture admitted from January 2017 to December 2019 were randomly divided into two groups:the combined double-incision group and the median incision group.All patients were treated with plate fixation.The combined double-incision group received an anterior and posterior combined double-incision approach,while the median incision group received a simple median knee incision approach.The functional recovery of knee joint,surgical indexes,range of motion of knee joint 12 months after operation and the incidence of complications were compared between the two groups.Results:The operative time of the two groups was(113.78±30.01)min and(115.92±28.95)min,respectively,and there was no significant difference between the two groups(P>0.05).The intraoperative blood loss in the combined double incision group was(310.67±43.20)mL,which was higher than that in the median incision group(254.20±45.11)mL.Postoperative drainage volume(120.06±28.47)mL was lower than that of the midline incision group(145.21±30.29)mL.The fracture healing time(118.36±2.30)d was shorter than that of the medium incision group(155.20±2.17)d(P<0.05).The excellent and good rate of knee joint function recovery in the combined double incision group was 95.56%,which was higher than that in the median incision group(80.00%)(P<0.05).12 months after operation,knee flexion degree(110.27±8.20)°and knee extension degree(1.75±0.23)°in the combined double incision group were higher than those in the median incision group(98.24±8.15)°and(0.83±0.20)°(P<0.05).The incidence of complications in the two groups was 6.67%and 11.11%,respectively,and there was no significant difference between the two groups(P>0.05).Conclusion:Anterior and posterior combined double-incision surgical approach in the treatment of complex t
作者
石林毅
陈宝娟
叶燕彬
庄林鑫
周超冠
刘颗星
SHI Linyi;CHEN Baojuan;YE Yanbin;ZHUANG Linxin;ZHOU Chaoguan;LIU Kexing(Huidong People’s Hospital,Huizhou 516300,China)
出处
《包头医学院学报》
CAS
2021年第3期26-29,共4页
Journal of Baotou Medical College
关键词
手术入路
复杂胫骨平台骨折
前后联合双切口
膝前正中切口
Surgical approach
Complex tibial plateau fractures
Combined anterior and posterior double incision
Anterior median incision
