摘要
目的 研究三柱理论在胫骨平台骨折患者手术治疗中的应用效果。方法 选取2014年1月～2015年1月福建医科大学附属宁德市医院收治的65例胫骨平台骨折患者,根据三柱理论分型结果选择合适的手术入路和内固定方式,并于患者出院后1、3、6个月及1年定期复查,统计患者的手术时间、骨折愈合时间及术后1年的膝关节HSS评分。结果 65例患者中,单柱骨折42例,双柱骨折20例,三柱骨折3例。单柱骨折手术时间为（72.5±3.5）min,双柱骨折为（90.6±4.7）min,三柱骨折为（107.4±9.6）min,不同骨折分型患者手术时间比较,差异有统计学意义（P〈0.05）;不同骨折分型患者骨折愈合时间比较,差异无统计学意义（P〉0.05）;术后1年膝关节HSS评分,单柱骨折为（83.2±1.3）分,双柱骨折为（75.3±1.2）分,三柱骨折为（71.1±1.1）分,不同的骨折分型患者HSS评分比较,差异有统计学意义（P〈0.05）。结论 三柱分型理论用于指导胫骨平台骨折疗效确切,患者膝关节功能均得到不同程度的恢复,但其恢复程度仍受分型的影响。
Obejective To research the clinical effect of three-column theory in the operation of tibial plateau fractures.Methods Sixty-five patients with tibial plateau fractures which admitted in Ningde Municipal Hospital Affiliated to Fujian Medical University from January 2014 to January 2015 were selected.According to the results of three-column typing,the appropriate surgical approach and methods of internal fixation were selected for the patients.1,3,6 months and 1 year after operation patients were given the regular physical examination.The operation time,the time of fracture healing and the HSS score of 1 year after operation were statistically analyzed.Results There was 42 cases of single column fracture, 20 cases of double column fracture,and 3 cases of three column fracture in the 65 patients.The operation time of patients with single column fracture was（72.5±3.5） min,the operation time of patients with double column fracture was（90.6±4.7） min,and the operation time of patients with three column fracture was（107.4±9.6） min,the operation time of the patients with different fracture classification had statistically significant difference（P〈0.05）.There was no significant difference in fractuhre healing time among patients with different fracture classification（P〉0.05）.After one year of operation,the score of HSS knee in patients with single-column fracture was（83.2±1.3） points,the score of patients with double column fracture was（75.3 ±1.2） points,and the score of patients with three-column fracture was（71.1±1.1） points,the scores of patients with different fracture classification had statistically significant difference（P〈0.05）.Conclusion Three-column typing theory is effective in guiding the treatment of tibial plateau fractures,the function of the knee joint is restored to different extent,but the recovery degree is still affected by the fracture classification.
出处
《中国当代医药》
2016年第32期50-52,55,共4页
China Modern Medicine
关键词
三柱分型理论
胫骨平台骨折
临床效果
Three-column typing theory
Tibial plateau fracture
Clinical effect
