摘要
目的分析予以胫骨平台骨折患者传统切开复位内固定与数字化技术辅助治疗的临床效果。方法随机选择2021年6月—2023年5月新沂市人民医院收治的70例胫骨平台骨折患者为研究对象,按随机数表法分为两组,传统切开复位内固定治疗的40例纳入对照组,数字化技术辅助治疗的30例纳入观察组,比较两组围术期指标、膝关节活动度、膝关节功能恢复优良率及并发症发生率。结果观察组术中失血量少于对照组,手术时间、术中透视时间、住院时间、骨折愈合时间短于对照组,差异有统计学意义(P均<0.05)。观察组屈、伸膝最大角度为均较对照组更高,差异有统计学意义(P均<0.05)。观察组膝关节功能恢复优良率较对照组更高,差异有统计学意义(P<0.05)。观察组并发症发生率6.67%,低于较对照组的25.00%,差异有统计学意义(χ^(2)=4.057,P<0.05)。结论予以胫骨平台骨折患者传统切开复位内固定与数字化技术辅助治疗均可发挥一定骨折复位作用,但数字化技术辅助治疗术中失血量更少,手术耗时更短,术后膝关节功能恢复更佳,并发症更少,住院、骨折愈合时间短,康复快。
Objective To analyze the clinical effect of traditional incision and reduction internal fixation and digital technology-assisted treatment for patients with tibial plateau fractures.Methods 70 cases of tibial plateau fracture pa⁃tients admitted to Xinyi People's Hospital from June 2021 to May 2023 were randomly selected for the study,and they were divided into two groups according to the random number table method,40 cases of traditional incision and reduc⁃tion internal fixation treatment were included in the control group,and 30 cases of digital technology-assisted treat⁃ment were included in the observation group,and perioperative indexes,knee mobility,the excellent rate of recovery of knee function,and the incidence of complications were compared between the two groups.Results The intraopera⁃tive blood loss in the observation group was less than that in the control group,and the operation time,intraoperative fluoroscopy time,hospitalization time,and fracture healing time were shorter than those in the control group,and the difference was statistically significant(all P<0.05).The maximum angle of knee flexion and extension of the observa⁃tion group was higher than that of the control group,and the difference was statistically significant(both P<0.05).The excellent rate of knee joint function recovery in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The complication rate of 6.67%in the observation group was lower than 25.00%in the control group,and the difference was statistically significant(χ^(2)=4.057,P<0.05).Conclusion Both traditional incision and reduction internal fixation and digital technology-assisted treatment for patients with tibial pla⁃teau fracture can play a certain role in fracture reduction.However,digital technology-assisted treatment has less in⁃traoperative blood loss,shorter operation time,better postoperative recovery of knee function,fewer complications,shorter hospitalization and fracture healing ti
作者
田桦
陆英超
TIAN Hua;LU Yingchao(Department of Orthopedics,Xinyi People's Hospital,Xinyi,Jiangsu Province,221400 China)
出处
《中外医疗》
2024年第1期65-68,共4页
China & Foreign Medical Treatment
基金
徐州市卫生健康委科技项目(XWKYHT20200053)。
关键词
胫骨平台骨折
传统切开复位内固定
数字化技术辅助
并发症
Tibial plateau fracture
Traditional incision and reduction internal fixation
Digital technology-assisted
Complications
