[1]仓挺松,陈阳,吴骏,等.基于四柱九区法指导治疗胫骨平台粉碎性骨折67例[J].中国中医骨伤科杂志,2024,32(11):76-81.[doi:10.20085/j.cnki.issn1005-0205.241115]
　CANG Tingsong,CHEN Yang,WU Jun,et al.Clinical Efficacy and Reliability of Treatment of Comminuted Tibial Plateau Fracture Based on Four-Column and Nine-Zone Method:67 Cases of Clinical Report[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(11):76-81.[doi:10.20085/j.cnki.issn1005-0205.241115]
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基于四柱九区法指导治疗胫骨平台粉碎性骨折67例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年11期
页码:
76-81
栏目:
临床报道
出版日期:
2024-11-15

文章信息/Info

Title:
Clinical Efficacy and Reliability of Treatment of Comminuted Tibial Plateau Fracture Based on Four-Column and Nine-Zone Method:67 Cases of Clinical Report
文章编号:
1005-0205(2024)11-0076-06
作者:
仓挺松1; 陈阳1; 吴骏1; 任鹏鹏1; 曹峰1△
1苏州市中西医结合医院(江苏 苏州,215101)
Author(s):
CANG Tingsong1; CHEN Yang1; WU Jun1; REN Pengpeng1; CAO Feng1△
1Suzhou Integrated Traditional Chinese and Western Medicine Hospital,Suzhou 215101,Jiangsu China.
关键词:
四柱九区法;  胫骨平台;  粉碎性骨折;  回顾性研究
Keywords:
four-column and nine-zone method;  tibial plateau;  comminuted fracture;  retrospective study
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.241115
文献标志码:
B
摘要:
目的:研究经四柱九区法指导治疗胫骨平台粉碎性骨折的临床疗效,探讨应用四柱九区法指导临床治疗的可靠性。方法:回顾性分析2020年12月至2022年1月采用四柱九区法指导治疗的67例胫骨平台粉碎性骨折患者资料,记录并评估患者手术时间、术中出血量、术后的骨折愈合时间与并发症情况,以及术后1,3,6,12个月的胫骨平台后倾角(PTSA)和膝关节功能评分(KSS)。结果:患者平均手术时间为(159.35±18.54)min,平均术中出血量为(116.30±6.64)mL,术后骨折愈合平均时间为(121.42±5.71)d。术后胫骨平台后倾角较稳定,各观察时间点胫骨平台后倾角差异无统计学意义(P>0.05)。术后1个月时膝关节功能评分均显著低于其他观察时间点评分,差异有统计学意义(P<0.05); 术后3个月时各评分低于术后6个月和12个月的评分,差异有统计学意义(P<0.05); 但术后6个月与12个月之间各评分差异无统计学意义(P>0.05)。共发生并发症11例,其中膝关节僵硬9例,膝外翻1例,膝内翻1例。结论:四柱九区法可较好地指导治疗粉碎性胫骨平台骨折,值得临床推广应用。
Abstract:
Objective:To study the clinical effect of four-column and nine-zone method in the treatment of comminuted fracture of tibial plateau,and to explore the reliability of the four-column and nine-zone method in clinical treatment.Methods:From December 2020 to January 2022,67 patients with comminuted fracture of tibial plateau treated with four-column and nine-zone method were selected for a retrospective study without control.Operative time,intraoperative blood loss,postoperative fracture healing time and complications,as well as posterior slope angle and knee function score(KSS)at 1,3,6,12 months after surgery were observed.Results:The mean operative time was(159.35±18.54)min,the mean intraoperative blood loss was(116.30±6.64)mL,and the mean postoperative healing time was(121.42±5.71)d.The posterior slope angle was stable after operation,and there was no statistical difference in the results of posterior slope angle at each observation time point(P>0.05).The scores at 1 month after surgery were significantly worse than those at other observation time points(P<0.05),and the scores at 3 months after surgery were significantly worse than those at 6 months and 12 months after surgery(P<0.05),but there was no statistical difference between 6 months and 12 months after surgery(P>0.05).Complications occurred in 11 cases,including knee stiffness in 9 cases,valgus in 1 case and varus in 1 case.Conclusion:The four-column and nine-zone method can guide the treatment of comminuted tibial plateau fracture,and is worthy of clinical application.

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备注/Memo

备注/Memo:
△通信作者 E-mail:cfeng03@yeah.net
更新日期/Last Update: 2024-11-05