摘要
目的:探讨T入路术式对胫骨近端骨折的治疗效果。方法:选取87例胫骨近端骨折患者,随机分为两组,观察组采用膝前髌骨下T形切口术式,对照组采用传统术式。观察两组患者术中情况及膝关节功能恢复、骨折愈合情况。结果:观察组平均手术时间长于对照组,差异有统计学意义(t=4.2,P<0.05)。根据Rasmussen膝关节功能评分,观察组优良率(95.6%)明显高于对照组(78.6%),差异有统计学意义(x2=5.7,P<0.05)。观察组临床愈合时间及骨性愈合时间明显短于对照组,差异有统计学意义(t=11.1、18.4,P<0.05)。结论:对胫骨近端骨折患者,膝前髌骨下T形切口术式可明显缩短骨折临床及骨性愈合时间,有利于膝关节功能的恢复,但手术时间延长。
Objective：To explore the effect of T approach operation to function of knee joint in patients with proximal tibial fracture.Methods：Selected 87 cases of patients with proximal tibial fracture,divided them into two groups randomly, while experimental group received T approach operation of anterior knee patella and control group received traditional operation. Compared the operation satuation,function recovery of knee joint and fracture healing.Results：Average operation time of experimental group was longer than that of control group, and a significant difference was observed（t=4.2,P〈0.05）.According to Rasmussen score of knee joint function, The excellent rate of experimental group（95.6%）was higher than that of control group（78.6%）,and there was a significant difference between them（χ2=5.7,P〈0.05）.Clinical and bone healing time of experimental groups was shorter than that of control group, and a significant difference was observed （t=11.1、18.4,P〈0.05）.Conclusion：For patients with proximal tibial fracture,T approach operation of anterior knee patella can significantly shorten clinical and bone healing time,promote recovery of knee joint.
出处
《中国医药导刊》
2013年第9期1415-1416,共2页
Chinese Journal of Medicinal Guide
关键词
胫骨近端骨折
膝关节功能
手术治疗
Proximal tibial fracture
Function of knee ioint
Operation
