[1]翁科捷 张育锋 邱雪立 陈树鑫 沈晖扬 刘成.三柱固定对复杂胫骨平台骨折患者内翻角、后倾角及膝关节功能的影响[J].中国中医骨伤科杂志,2022,30(06):59-62.
　WENG Kejie ZHANG Yufeng QIU XueliCHEN Shuxin SHEN Huiyang LIU Cheng.Efficacy of Three Column Fixation on Varus Angle, Posterior Angle and Knee Function in Patients with Complex Tibial Plateau Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(06):59-62.
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三柱固定对复杂胫骨平台骨折患者内翻角、后倾角及膝关节功能的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年06期
页码:
59-62
栏目:
临床报道
出版日期:
2022-06-15

文章信息/Info

Title:
Efficacy of Three Column Fixation on Varus Angle, Posterior Angle and Knee Function in Patients with Complex Tibial Plateau Fracture
文章编号:
1005-0205(2022)06-0059-04
作者:
翁科捷1 张育锋1 邱雪立1 陈树鑫1 沈晖扬1 刘成1
1广东汕头市中心医院骨外二科(广东 汕头,515041)
Author(s):
WENG Kejie1△ ZHANG Yufeng1 QIU Xueli1CHEN Shuxin1 SHEN Huiyang1 LIU Cheng1
1Second Department of Orthopedics and Surgery, Shantou Central Hospital, Shantou 515041, Guangdong China.
关键词:
复杂胫骨平台骨折;  三柱固定;  膝关节功能;  并发症;  临床应用
Keywords:
complex tibial plateau fracture;  three-column fixed;  knee joint function;  complications;  clinical application
分类号:
R683.42
文献标志码:
B
摘要:
目的:探究复杂胫骨平台骨折应用三柱固定治疗对胫骨平台内翻角(TPA)、后倾角(PA)及膝关节功能的影响。方法:前瞻性选取2016年8月至2020年1月收治的33例复杂型胫骨平台骨折患者作为研究对象,均采用三柱钢板内固定。X线片观察患者术后即刻、术后1个月、3个月及6个月内翻角和后倾角,用美国特种外科医院评分(HSS)动态评价患者术前、术后1个月、3个月及6个月膝关节功能,并统计术后并发症发生情况。结果:患者术后即刻、术后1个月、3个月及6个月内翻角和后倾角比较差异无统计学意义(P>0.05)。重复测量结果显示,患者HSS评分时点作用差异有统计学意义(P<0.05); 术后6个月HSS评分显著高于术前、术后1个月和3个月,差异有统计学意义(P<0.05); 术后3个月HSS评分显著高于术前和术后1个月,差异有统计学意义(P<0.05)。患者并发症总发生率为6.06%。结论:对复杂型胫骨平台骨折患者实施三柱固定临床效果好,可改善膝关节功能,且不会出现严重并发症。
Abstract:
Objective:To investigate the efficacy of three-column fixation on tibial plateau varus angle(TPA),posterior tibial angle(PA)and knee function of complex tibial plateau fractures. Methods:33 patients with complex tibial plateau fracture from August 2016 to January 2020 were prospectively selected as the study subjects, and all of them were treated by three-column type plate internal fixation. TPA and PA were observed immediately after surgery, 1 month after surgery, 3 months after surgery and 6 months after surgery by X-ray; knee joint function was dynamically evaluated by Hospital Special Surgery(HSS)before surgery, 1 month after surgery, 3 months after surgery and 6 months after surgery, and the incidence of postoperative complications was statistically analyzed. Results:TPA and PA were obtained immediately after surgery, 1 month after surgery, 3 months after surgery and 6 months after surgery(P>0.05). Repeated measurement results showed that the difference of HSS scores was significant at time point(P<0.05); the HSS scores 6 months after surgery was significantly higher than that before surgery, 1 month after surgery and 3 months after surgery(P<0.05); the HSS scores 3 months after surgery was significantly higher than that before surgery and 1 month after surgery(P<0.05).The total incidence of complications was 6.06%. Conclusion:Three-column fixation in patients with complex tibial plateau fractures has good clinical efficacy and can improve knee function without serious complications.

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更新日期/Last Update: 1900-01-01