摘要
目的 分析髌上入路手术对胫骨近端骨折患者术后膝关节功能恢复的影响。方法 56例胫骨近端骨折患者,通过数字分配法分为对照组与观察组,各28例。对照组实施切开复位固定术,观察组实施髌上入路手术。对比两组患者手术指标、膝关节评分及并发症发生情况。结果 观察组手术时间(44.13±11.15)min、术中出血量(63.69±25.16)ml及愈合时间(7.61±1.09)周,均优于对照组的(79.13±15.17)min、(121.37±25.85)ml及(11.19±1.57)周,差异有统计学意义(P<0.05)。观察组支持、跛行、下蹲、上楼、肿胀、绞锁、不稳定、疼痛评分均高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率3.6%低于对照组的21.4%,差异有统计学意义(P<0.05)。结论 在胫骨近端骨折患者手术治疗中,髌上入路手术有助于患者膝关节功能恢复,可在临床实践推广。
Objective To analyze the influence of suprapatellar approach surgery on postoperative knee function recovery in patients with proximal tibial fractures.Methods A total of 56 patients with proximal tibial fractures were randomly divided into control group and observation group,with 28 cases in each group.The control group underwent open reduction and fixation,and the observation group underwent suprapatellar approach surgery.Both groups were compared in terms of surgical indexes,knee scores and complications.Results The operation time(44.13±11.15)min,intraoperative blood loss(63.69±25.16)ml and healing time(7.61±1.09)weeks of the observation group were all better than(79.13±15.17)min and(121.37±25.85)ml and(11.19±1.57)weeks of the control group,and the difference was statistically significant(P<0.05).The scores of support,limp,squatting,going upstairs,swelling,strangulation,instability,and pain in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The complication rate of the observation group was 3.6%,which was lower than 21.4%of the control group,and the difference was statistically significant(P<0.05).Conclusion In the surgical treatment of patients with proximal tibial fractures,suprapatellar approach surgery helps patients recover knee joint function,and can be promoted in clinical practice.
作者
谭广兴
TAN Guang-xing(Shenyang 242 Hospital,Shenyang 110031,China)
出处
《中国实用医药》
2021年第28期58-60,共3页
China Practical Medicine
关键词
髌上入路手术
胫骨近端骨折
膝关节功能
Suprapatellar approach surgery
Proximal tibial fractures
Knee function
