摘要
目的:观察双切口双钢板内固定术治疗复杂胫骨平台骨折患者的效果。方法:选取2021年10月至2023年6月该院收治的85例复杂胫骨平台骨折患者进行前瞻性研究,按照随机数字表法将其分为研究组(n=43)和对照组(n=42)。对照组采用单侧锁定加压钢板内固定术治疗,研究组采用双切口双钢板内固定术治疗,比较两组手术优良率,手术前后膝关节功能[膝关节功能量表(LKS)]评分,胫骨平台指标(后倾角、内翻角、轴向刚度)水平和并发症发生率。结果:研究组手术优良率为95.35%(41/43),高于对照组的78.57%(33/42),差异有统计学意义(P<0.05);术后3个月,两组LKS评分均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05);两组胫骨平台后倾角和内翻角均低于术前,且研究组低于对照组,研究组轴向刚度高于对照组,差异均有统计学意义(P<0.05);研究组并发症发生率为6.98%(3/43),低于对照组的23.81%(10/42),差异有统计学意义(P<0.05)。结论:双切口双钢板内固定术治疗复杂胫骨平台骨折患者,可提高手术优良率和膝关节功能,改善胫骨平台后倾角、内翻角及轴向刚度,降低并发症发生率,效果优于单侧锁定加压钢板内固定术治疗。
Objective:To observe effects of double incision and double plate internal fixation in treatment of patients with complex tibial plateau fractures.Methods:A prospective study was conducted on 85 patients with complex tibial plateau fractures admitted to this hospital from October 2021 to June 2023.They were divided into study group(n=43)and control group(n=42)according to the random number table method.The control group was treated with unilateral locking compression plate internal fixation,while the study group was treated with double incision and double plate internal fixation.The excellent and good rate of the surgery,the joint function[Lysholm knee scale(LKS)]scores before and after the surgery,the tibial plateau index(posterior slope angle,varus angle,axial stiffness)levels,and the incidence of complications were compared between the two groups.Results:The excellent and good rate of the surgery in the study group was 95.35%(41/43),which was higher than 78.57%(33/42)in the control group,and the difference was statistically significant(P<0.05).At 3 months after the surgery,the LKS scores of the two groups were higher than those before the surgery,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).The posterior slope angle and the varus angle of tibial plateau in the two groups were lower than those before the surgery,and those in the study group were lower than those in the control group;the axial stiffness of the study group was higher than that of the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was 6.98%(3/43),which was lower than 23.81%(10/42)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Double incision double plate internal fixation for the treatment of the patients with complex tibial plateau fractures can improve the excellent and good rate of surgery and the knee function,improve the posterior slope angle,varus angle and axial stiffness of the tibial plateau,and reduce the incidence of complications.Moreover,it is superior to unilateral locking compression plate internal fixation.
作者
毕楷
朱书朝
BI Kai;ZHU Shuchao(Nanyang Hospital of Traditional Chinese Medicine,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2024年第17期58-60,共3页
Medical Journal of Chinese People’s Health
关键词
双切口双钢板内固定术
单侧锁定加压钢板内固定术
复杂胫骨平台骨折
膝关节功能
优良率
并发症
Double incision double plate internal fixation
Unilateral locking compression plate internal fixation
Complex tibial plateau fracture
Knee function
Excellent and good rate
Complication
