摘要
目的分析HeppleⅣ型至Ⅴ型距骨骨损伤患者分别采用骨软骨移植以及带骨膜髂骨移植治疗的效果和护理措施。方法选择2019年6月至2019年10月在本院进行HeppleⅣ型至Ⅴ型距骨骨损伤患者20例作为研究对象,依据移植材料的不同分为常规组和实验组,各10例。常规组予以骨软骨移植治疗,实验组予以带骨膜髂骨移植治疗,对比两组治疗前后AOFAS、VAS、MOCART以及IKDC评分。结果实验组治疗后AOFAS、MOCART评分均高于常规组,VAS评分低于常规组(P<0.05);两组IKDC评分比较差异无统计学意义。结论 HeppleⅣ型至Ⅴ型距骨骨损伤患者采用骨软骨移植以及带骨膜髂骨移植均可达到较好的治疗效果,且带骨膜髂骨移植术后移植体生长快,患者疼痛感较轻,值得临床推广。
Objective To analyze the clinical effect and nursing interventions of osteochondral transplantation and ilium periosteum transplantation on treatment of Hepple Ⅳ-Ⅴ talus injury. Methods 20 Hepple Ⅳ-Ⅴ talus injury patients treated from June 2019 to October 2019 in our hospital were selected as study subjects. According to different transplantation materials, patients were assigned to routine group(n=10) and experimental group(n=10). The osteochondral transplantation was performed in the routine group. The ilium periosteum transplantation was performed in the experimental group. AOFAS(American Orthopaedic Foot and Ankle Society), VAS(visual analogue scale), MOCART(magnetic resonance observation of cartilage repair tissue) and IKDC(International Knee Documentation Committee) scores were compared. Results After treatment, AOFAS and MOCART scores in the experimental group were higher than routine group. VAS scores were lower than routine group(P<0.05). IKDC scores were not significantly difference between two group. Conclusion Both of osteochondral transplantation and ilium periosteum transplantation has fair effects, but ilium periosteum transplantation can promote the growth of donors and relieve the pain. It shall be widely applied in clinical practice.
作者
熊桂芬
Xiong Guifen(Heyuan Hospital of Traditional Chinese Medicine,Guangdong Province,Heyuan,Guangdong,517000,China)
出处
《当代医学》
2020年第14期41-43,共3页
Contemporary Medicine
关键词
护理
疗效
距骨骨损伤
移植材料
治疗
Nursing
Effect
Talus injury
Transplantation materials
Treatment
