胫骨后侧平台骨折创伤关节镜下手术治疗的疗效分析
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摘要
目的分析对胫骨后侧平台骨折患者采用创伤关节镜下手术治疗的应用价值。方法选取我院在2017年2月—2018年2月收治的胫骨后侧平台骨折患者76例作为研究对象,采用奇偶法,将其分为两组,每组各38例。对照组行开放手术治疗,观察组行创伤关节镜下手术治疗。将两组手术治疗的效果对比分析。结果观察组患者的骨折愈合时间(90.69±6.69)天,少于对照组的(114.89±7.23)天;观察组患者的关节功能评分为(86.56±6.12)分,高于对照组的(73.12±6.55)分;观察组的骨折复位优良率为92.11%,高于对照组的73.68%,组间各数据对比,差异具有统计学意义(P <0.05)。结论胫骨后侧平台骨折患者采用创伤关节镜下手术治疗效果显著。
Objective To analyze the application value of traumatic arthroscopy in the treatment of posterior tibial plateau fractures. Methods 76 patients with posterior tibial plateau fractures were selected from February 2017 to February 2018 were selected as the study objects. They were divided into parity group(38 cases) and parity group(38 cases). The control group was treated with open surgery, the observation group was treated with traumatic arthroscopic surgery, the two groups were compared and analyzed. Results The healing time of fracture in the observation group was(90.69±6.69) days, less than that in the control group(114.89±7.23) days. The joint function score of the observation group was(86.56±6.12) points, which was higher than that of the control group(73.12±6.55) points. The excellent and good rate of fracture reduction in the observation group was 92.11%, which was higher than 73.68% in the control group. There was a significant difference between the two groups(P < 0.05). Conclusion Patients with tibial posterior plateau fractures treated by traumatic arthroscopic surgery have a significant effect.
Objective To analyze the application value of traumatic arthroscopy in the treatment of posterior tibial plateau fractures. Methods 76 patients with posterior tibial plateau fractures were selected from February 2017 to February 2018 were selected as the study objects. They were divided into parity group(38 cases) and parity group(38 cases). The control group was treated with open surgery, the observation group was treated with traumatic arthroscopic surgery, the two groups were compared and analyzed. Results The healing time of fracture in the observation group was(90.69±6.69) days, less than that in the control group(114.89±7.23) days. The joint function score of the observation group was(86.56±6.12) points, which was higher than that of the control group(73.12±6.55) points. The excellent and good rate of fracture reduction in the observation group was 92.11%, which was higher than 73.68% in the control group. There was a significant difference between the two groups(P < 0.05). Conclusion Patients with tibial posterior plateau fractures treated by traumatic arthroscopic surgery have a significant effect.
引文
[1]邓闽军,王丹,钟建明.关节镜下微创辅助治疗胫骨平台骨折[J].浙江临床医学,2016,18(8):1405-1406,1409.
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[5]王斌,韩守江,张合,等.关节镜下锚钉固定前交叉韧带治疗胫骨髁间前嵴骨折[J].实用骨科杂志,2018,24(3):271-273.
[6]刘浩,王建兵,徐可林,等.关节镜下带襻钢板治疗前交叉韧带胫骨止点撕脱骨折的疗效分析[J].中国微创外科杂志,2018,18(7):664-666,672.
[7]徐海涛,朱威宏,曹斌,等.关节镜引导下植骨、缝线内固定治疗胫骨髁间嵴骨折不愈合[J].中国现代手术学杂志,2017,21(6):445-448.
[8]李建文,叶锋,毕大卫,等.关节镜结合MIPPO技术治疗SchatzkerⅣ型胫骨平台骨折[J].中国骨伤,2018,31(2):186-189.
[9]李冀,李众利,廖伟雄,等.关节镜下带线锚钉固定治疗胫骨髁间嵴撕脱骨折的临床研究[J].中国骨伤,2017,30(11):1023-1028.
[10]何欢.关节镜下微创经皮钢板固定治疗胫骨平台Ⅰ~Ⅲ型骨折患者的疗效[J].创伤外科杂志,2018,20(8):612-614.
[11]韩飞.关节镜辅助下治疗胫骨平台骨折的临床疗效评价[J].特别健康,2018(19):48-49.
[12]吕阳,刘军,李满强,等.国内关节镜下内固定和切开复位内固定治疗轻型胫骨平台骨折的疗效及术后并发症的Meta分析[J].中国内镜杂志,2018,24(7):5-13.
[2]易智,刘时璋,史纪元,等.关节镜下爱惜邦缝线固定治疗胫骨髁间棘骨折16例[J].陕西医学杂志,2016,45(10):1340-1341.
[3]石泽锋,孙可.关节镜下双襻法治疗前交叉韧带胫骨止点撕脱骨折[J].中国微创外科杂志,2018,18(5):440-444.
[4]陈林,周中.关节镜下空心螺钉结合齿状垫片治疗胫骨髁间隆突骨折[J].实用骨科杂志,2018,24(7):653-656.
[5]王斌,韩守江,张合,等.关节镜下锚钉固定前交叉韧带治疗胫骨髁间前嵴骨折[J].实用骨科杂志,2018,24(3):271-273.
[6]刘浩,王建兵,徐可林,等.关节镜下带襻钢板治疗前交叉韧带胫骨止点撕脱骨折的疗效分析[J].中国微创外科杂志,2018,18(7):664-666,672.
[7]徐海涛,朱威宏,曹斌,等.关节镜引导下植骨、缝线内固定治疗胫骨髁间嵴骨折不愈合[J].中国现代手术学杂志,2017,21(6):445-448.
[8]李建文,叶锋,毕大卫,等.关节镜结合MIPPO技术治疗SchatzkerⅣ型胫骨平台骨折[J].中国骨伤,2018,31(2):186-189.
[9]李冀,李众利,廖伟雄,等.关节镜下带线锚钉固定治疗胫骨髁间嵴撕脱骨折的临床研究[J].中国骨伤,2017,30(11):1023-1028.
[10]何欢.关节镜下微创经皮钢板固定治疗胫骨平台Ⅰ~Ⅲ型骨折患者的疗效[J].创伤外科杂志,2018,20(8):612-614.
[11]韩飞.关节镜辅助下治疗胫骨平台骨折的临床疗效评价[J].特别健康,2018(19):48-49.
[12]吕阳,刘军,李满强,等.国内关节镜下内固定和切开复位内固定治疗轻型胫骨平台骨折的疗效及术后并发症的Meta分析[J].中国内镜杂志,2018,24(7):5-13.