[1]凌中华,冯金柱△.胫骨干骨折合并隐匿性后踝骨折情况及危险因素[J].中国中医骨伤科杂志,2024,32(05):41-45+49.[doi:10.20085/j.cnki.issn1005-0205.240508]
　LING Zhonghua,FENG Jinzhu.Tibial Shaft Fracture Combined with Occult Posterior Malleolar Fracture and Risk Factors[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(05):41-45+49.[doi:10.20085/j.cnki.issn1005-0205.240508]
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胫骨干骨折合并隐匿性后踝骨折情况及危险因素()
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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05期
页码:
41-45+49
栏目:
临床研究
出版日期:
2024-05-05

文章信息/Info

Title:
Tibial Shaft Fracture Combined with Occult Posterior Malleolar Fracture and Risk Factors
文章编号:
1005-0205(2024)05-0041-05
作者:
凌中华1; 冯金柱2△
1上海健康医学院附属崇明医院(上海,202150)
2东部战区总医院
Author(s):
LING Zhonghua1; FENG Jinzhu2△
1Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences,Shanghai 202150,China; 2Eastern Theater General Hospital,Nanjing 210002,China.
关键词:
胫骨干骨折;  隐匿性后踝骨折;  螺旋骨折;  远端骨折;  危险因素
Keywords:
tibial shaft fracture;  concealed posterior ankle fracture;  spiral fracture;  distal fracture;  risk factor
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.240508
文献标志码:
A
摘要:
目的:分析胫骨干骨折患者合并隐匿性后踝骨折情况及其危险因素。方法:前瞻性选取2018年3月至2023年1月收治的120例胫骨干骨折患者作为研究对象,分别采用X线、CT及MRI对患者进行检查,统计不同检查方式对隐匿性后踝骨折的检出率。根据影像学检查结果按照有无合并隐匿性后踝骨折分为发生组和未发生组,统计两组患者的一般资料,采用单因素分析和多因素Logistic回归分析影响隐匿性后踝骨折发生的危险因素。结果:120例患者中共计检出42例患者合并隐匿性后踝骨折,发生率为35.00%(42/120); 发生组胫骨骨折线长度及骨折线最低点至胫-距关节面距离长于未发生组,非螺旋骨折及骨折部位在远端的发生率均高于未发生组(P<0.05); 胫骨骨折线长度、骨折线最低点至胫-距关节面距离、非螺旋形骨折及远端骨折为合并隐匿性后踝骨折的相关因素(OR=0.921,0.808,2.684,17.762; 95%CI分别为0.797～0.819,0.914～0.927,2.215～3.254,14.317～22.037)(P<0.05)。结论:胫骨干骨折患者合并隐匿性后踝骨折发生率为35.00%,骨折线最低点至胫-距关节面距离、胫骨骨折线长度、非螺旋形骨折及远端骨折为合并隐匿性后踝骨折的相关因素。
Abstract:
Objective:To analyze the situation and risk factors of patients with tibial shaft fracture complicated with occulted posterior malleolar fracture.Methods:A total of 120 patients with tibia shaft fracture from March 2018 to January 2023 were prospectively selected as the study objects.X-ray,CT and MRI were used to examine the patients,respectively,and the detection rate of occulted posterior ankle fracture was calculated by different examination methods.According to the imaging results,the patients were divided into the occurrence group and the non-occurrence group according to whether there were concealed posterior ankle fractures.The general data of the two groups were analyzed,and the risk factors affecting the occurrence of concealed posterior ankle fractures were analyzed by univariate analysis and multivariate Logistic regression analysis.Results:A total of 42 patients with concealed posterior malleolar fracture were detected,the incidence was 35.00%(42/120).The length of the tibial fracture line and the distance from the lowest point of the fracture line to the tibia-distal articular surface were longer in the occurrence group than in the non-occurrence group.The incidence of non-spiral fracture and the distal fracture site were higher than those in the non-occurrence group(P<0.05).The length of the tibial fracture line,the distance from the lowest point of the fracture line to the tibia-distal articular surface,non-spiral fracture,and distal fracture were associated with ocessive posterior malleolar fracture(OR=0.921,0.808,2.684,17.762,0.808,2.684,17.762; 95%CI were 0.797-0.819,0.914-0.927,2.215-3.254,14.317-22.037)(P<0.05).Conclusion:The incidence rate of patients with tibial shaft fracture complicated with occulted posterior malleolar fracture was 35.00%.The distance from the lowest fracture line to the tibia-distal articular surface,the length of the tibial fracture line,non-spiral fracture and distal fracture were the related factors.

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备注/Memo

备注/Memo:
△通信作者 E-mail:ffengjinzhu@163.com
更新日期/Last Update: 2024-05-15