摘要
目的:探讨骨痂力学测试在胫腓骨骨折支架外固定术后骨折愈合评价中的应用价值。方法:回顾性分析74例采用Taylor空间支架外固定治疗的胫腓骨骨折患者的病例资料,根据术后评价骨折愈合的方法不同将其分为骨痂力学测试组38例和传统方法组36例。骨痂力学测试组术后12周开始进行骨痂力学测试判断骨折愈合情况,每4周测试1次;传统方法组术后定期复查,根据骨折临床愈合标准、影像学检查结果及医师经验判断骨折愈合情况。比较2组患者带外固定支架时间及并发症发生情况。结果:2组患者均获得随访,随访时间7~12个月,中位数8个月。骨痂力学测试组患者带外固定支架时间短于传统方法组[(175.30±5.60)d,(346.90±21.64)d,t=-8.670,P=0.000]。2组患者均无骨折不愈合、再骨折等并发症发生。结论:在胫腓骨骨折支架外固定术后,应用骨痂力学测试评价骨折愈合情况,可以缩短患者佩戴外固定支架的时间,安全性好。
Objective: To explore the applied values of bony callus mechanical testing in the evaluation of fracture healing after external fixation with Taylor spatial frame( TSF) for treatment of tibiofibular fractures. Methods: The medical records of 74 patients who received external fixation with TSF for treatment of tibiofibular fractures were analyzed retrospectively,and the patients were divided into bony callus mechanical testing group( 38 cases) and conventional method group( 36 cases) according to the postoperative fracture healing evaluation methods. The bony callus mechanical testing was performed on patients in bony callus mechanical testing group for evaluating fracture healing at 12 weeks after the surgery,and the bony callus mechanical testing was performed once 4 weeks. The periodic reexamination was performed on patients in conventional method group after the surgery,and the fracture healing was evaluated according to clinical fracture healing standard,imaging examination results and physicians’experience - based judgment. The TSF fixation time and complication incidences were compared between the 2 groups. Results: All patients in the 2 groups were followed up for 7 - 12 months with a median of 8 months. The TSF fixation time was shorter in bony callus mechanical testing group compared to conventional method group( 175. 30 +/- 5. 60 vs 346. 90 +/- 21. 64 days,t =- 8. 670,P = 0. 000). No complications such as fracture nonunion and refracture were found in both of the 2 groups. Conclusion: Bony callus mechanical testing for evaluating fracture healing can shorten TSF fixation time after TSF external fixation for treatment of tibiofibular fractures,and it has high safety.
作者
张涛
万春友
赵远航
姚辉
梅晓龙
李宏宙
张宁宁
刘钊
张伟业
ZHANG Tao;WAN Chunyou;ZHAO Yuanhang;YAO Hui;MEI Xiaolong;LI Hongzhou;ZHANG Ningning;LIU Zhao;ZHANG Weiye(Tianjin Hospital,Tianjin 300211,China;Graduate college of Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《中医正骨》
2019年第10期26-30,共5页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
胫骨骨折
骨折愈合
外固定器
骨痂
力学测试
tibial fractures
fracture healing
external fixators
bony callus
mechanical test
