摘要
目的对比改良前外侧入路与后外侧入路内固定在外侧胫骨平台骨折(TPF)患者中的应用效果。方法选取2018年1月至2021年1月于商丘市第五人民医院接受诊疗的110例TPF患者为研究对象,依据随机数表法将其分为A组(55例,改良前外侧入路内固定)与B组(55例,后外侧入路内固定)。对比两组手术相关情况,随访6个月,观察两组关节恢复情况,对比两组术前、术后6个月时膝关节功能及活动度,并统计两组并发症。结果A组手术时间、住院时间、骨折愈合时间、负重时间短于B组,出血量少于B组(P<0.05);A组关节恢复情况优于B组(P<0.05);术后6个月时,两组美国特种外科医院(HSS)膝关节评分均高于术前,膝关节伸直活动度均大于术前,膝关节屈曲活动度均小于术前,且A组HSS评分均高于B组,膝关节伸直活动度均大于B组,膝关节屈曲活动度小于B组(P<0.05);A组并发症发生率(3.64%)低于B组(14.55%)(P<0.05)。结论改良前外侧入路内固定治疗TPF患者效果优于后外侧入路,可缩短手术时间,减少术中出血量,促进关节功能快速恢复,降低并发症发生率。
Objective To compare the effect of modified anterior lateral approach and posterior lateral approach for internal fixation in the treatment of patients with lateral tibial plateau fractures(TPF).Methods One hundred and ten patients with TPF who received diagnosis and treatment in Shangqiu Fifth People’s Hospital from January 2018 to January 2021 were selected as the research subjects.According to a random number table method,they were divided into group A(55 cases,modified anterior lateral approach for internal fixation)and group B(55 cases,posterior lateral approach for internal fixation).The surgical indexes and postoperative recovery of the two groups were compared.Followed up for 6 months,the joint recovery of the two groups was observed,the knee function and range of motion were compared between the two groups before operation and 6 months after operation,and the complications of the two groups were counted.Results The operation time,hospitalization time,fracture healing time and weight-bearing time in group A were shorter than those in group B,and the amount of bleeding was less than that in group B(P<0.05).The joint recovery in group A was better than that in group B(P<0.05).Compared with before operation,the Hospital for Special Surgery(HSS)knee scores of both groups were higher,and the knee extension range of motion was higher,and the knee flexion range of motion was lower at 6 months after operation.While compared with group B,the HSS score of group A was higher,and the knee extension activity was higher,and the knee flexion activity was lower(P<0.05).The incidence of complications in group A(3.64%)was lower than that in group B(14.55%)(P<0.05).Conclusion The modified anterior lateral approach is better than posterior lateral approach for internal fixation in the treatment of patients with TPF.It can shorten the operation time,reduce the amount of intraoperative bleeding,promote the recovery of joint function,and reduce the incidence of complications.
作者
孙宇
李涛
SUN Yu;LI Tao(Department of Orthopedics,Shangqiu Fifth People’s Hospital,Shangqiu 476000,China)
出处
《河南医学研究》
CAS
2022年第1期126-129,共4页
Henan Medical Research
关键词
胫骨平台骨折
改良前外侧入路
后外侧入路
内固定
tibial plateau fractures
modified anterior lateral approach
posterior lateral approach
internal fixation
