摘要
目的探讨腓骨头上手术入路在胫骨平台后外侧骨折患者中的应用效果。方法选取2018年1月至2020年1月间浙江省台州医院收治的79例胫骨平台后外侧骨折患者作为本研究对象。依据不同的治疗方法将其分为试验组(n=40)与对照组(n=39)。对照组患者给予传统前外侧手术入路治疗,试验组患者给予腓骨头上手术入路治疗。统计比较两组平均手术时间、术中出血量以及骨折愈合时间等临床指标;比较分析两组间治疗前后的HSS评分情况;比较两组患者临床治疗效果。结果治疗后,两组HSS膝关节评分均较治疗前升高,差异有统计学意义(P<0.001);治疗前,两组HSS膝关节评分比较,差异无统计学意义(P>0.05),试验组治疗后的HSS膝关节评分明显高于对照组,差异有统计学意义(P<0.001)。试验组患者的平均手术时间、骨折愈合时间明显短于对照组,差异有统计学意义(P<0.001)。试验组术中出血量少于对照组,差异有统计学意义(P<0.001)。经过治疗,试验组的总有效率为95.00%,明显高于对照组的76.92%,差异有统计学意义(P<0.05)。结论针对胫骨平台后外侧骨折患者实施腓骨头上手术入路治疗,能够明显改善患者的相关临床指标,提高患者的膝关节功能,使临床治疗效果得到提高,值得临床推广应用。
Objective To investigate the application effect of surgical approach to fibula head in patients with posterolateral tibial plateau fracture.Methods Seventy-nine patients with posterolateral tibial plateau fracture who were admitted to Taizhou Hospital of Zhejiang Province from January 2018 to January 2020 were selected as the subjects of this study.According to different treatment methods,they were divided into the experimental group(n=40)and the control group(n=39).The control group was treated with traditional anterolateral surgical approach.Clinical indicators such as the operation time,intraoperative blood loss and hospital stay were statistically compared between the two groups.The HSS scores between the two groups before and after treatment were compared and analyzed.The clinical treatment effect was compared between the two groups.Results Before and after treatment,the HSS knee scores in the two groups were increased,and the differences were statistically significant(P<0.001).Before treatment,no significant difference was observed in the HSS knee score between the two group(P>0.05),but after treatment,the HSS knee score of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.001).The average operation time and the fracture healing time in the experimental group were shorter than those in the control group,and the differences between the two groups were statistically significant(P<0.001).The intraoperative blood loss in the experimental group was less than that in the control group,and the difference between the two groups was statistically significant(P<0.001).After treatment,the total effective rate in the experimental group was 95.00%,which was significantly higher than that of 76.92% in the control group,and the difference was statistically significant after statistical analysis(P<0.05).Conclusion For patients with posterolateral tibial plateau fracture,the surgical approach to fibula head can effectively improve relevant?clinical indicators,improve the knee joint function,and improve clinical treatment effect,which is worthy of clinical promotion and application.
作者
金紫燕
张彩敏
朱虹
杨洋
JIN Ziyan;ZHANG Caimin;ZHU Hong;YANG Yang(Department of Joint Surgery,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Linhai 317000,China)
出处
《中国现代医生》
2022年第5期86-88,143,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2018PY079)。
关键词
腓骨头上手术入路
胫骨平台后外侧骨折
膝关节功能
骨折愈合
Surgical approach to fibula head
Posterolateral tibial plateau fracture
Knee joint function
Fracture healing
