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[1]楊小廣,楊喬輝,劉長風(fēng),等.脛骨平臺(tái)骨折切開復(fù)位內(nèi)固定術(shù)后膝關(guān)節(jié)功能恢復(fù)的影響因素分析[J].中醫(yī)正骨,2016,28(10):11-13.
　YANG Xiaoguang,YANG Qiaohui,LIU Changfeng,et al.Analysis of factors influencing knee function recovery after open reduction and internal fixation for treatment of tibial plateau fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(10):11-13.
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脛骨平臺(tái)骨折切開復(fù)位內(nèi)固定術(shù)后膝關(guān)節(jié)功能恢復(fù)的影響因素分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年10期
頁碼:
11-13
欄目:
臨床研究
出版日期:
2016-10-20

文章信息/Info

Title:
Analysis of factors influencing knee function recovery after open reduction and internal fixation for treatment of tibial plateau fractures
作者:
楊小廣; 楊喬輝; 劉長風(fēng); 邵譽(yù)亮; 胡建明; 沈紅全; 李鵬樂
甘肅省隴南市第一人民醫(yī)院,甘肅 隴南 746000
Author(s):
YANG Xiaoguang; YANG Qiaohui; LIU Changfeng; SHAO Yuliang; HU Jianming; SHEN Hongquan; LI Pengle
The Longnan First People's Hospital,Longnan 746000,Gansu,China
關(guān)鍵詞:
脛骨骨折;  膝關(guān)節(jié);  關(guān)節(jié)功能;  骨折固定術(shù); 內(nèi);  Logistic模型;  回歸分析
Keywords:
tibial fractures;  knee joint;  joint function;  fracture fixation; internal;  logistic models;  regression analysis
摘要:
目的:探討脛骨平臺(tái)骨折切開復(fù)位內(nèi)固定術(shù)后膝關(guān)節(jié)功能恢復(fù)的影響因素。方法:收集2005年2月至2013年7月采用切開復(fù)位內(nèi)固定術(shù)治療的脛骨平臺(tái)骨折患者的病例資料,包括患者的性別、年齡、骨折部位、骨折類型、受傷至手術(shù)時(shí)間、手術(shù)時(shí)間、骨折復(fù)位質(zhì)量、完全負(fù)重時(shí)間、內(nèi)固定是否取出及術(shù)后膝關(guān)節(jié)功能評(píng)分。骨折分型按照北京軍區(qū)總醫(yī)院脛骨平臺(tái)骨折分型標(biāo)準(zhǔn),術(shù)后膝關(guān)節(jié)功能評(píng)定采用美國特種外科醫(yī)院(Hospital for Special Surgery,HSS)膝關(guān)節(jié)評(píng)分標(biāo)準(zhǔn),骨折復(fù)位質(zhì)量評(píng)定參照德國夏里特醫(yī)院骨折復(fù)位標(biāo)準(zhǔn)。采用多分類Logistic回歸分析篩選膝關(guān)節(jié)功能恢復(fù)的影響因素。結(jié)果:納入研究的病例共98例,男67例、女31例; 年齡(43.33±11.68)歲; 左膝46例,右膝52例; Ⅰ型33例,Ⅱ型46例,Ⅲ型19例; 受傷至手術(shù)時(shí)間(3.78±1.21)d; 手術(shù)時(shí)間(75.34±18.87)min; 復(fù)位滿意55例,復(fù)位欠佳43例; 完全負(fù)重時(shí)間(4.17±1.88)個(gè)月; 內(nèi)固定已取出68例,未取出30例; 膝關(guān)節(jié)HSS評(píng)分(79.67±11.33)分。經(jīng)Logistic回歸分析,年齡、骨折類型及復(fù)位質(zhì)量是膝關(guān)節(jié)HSS評(píng)分的影響因素(OR=12.000,P=0.041; OR=15.200,P=0.026; OR=11.330,P=0.033)。結(jié)論:年齡、骨折類型及復(fù)位質(zhì)量是影響脛骨平臺(tái)骨折切開復(fù)位內(nèi)固定術(shù)后膝關(guān)節(jié)功能恢復(fù)的因素。
Abstract:
Objective:To explore the factors influencing knee function recovery after open reduction and internal fixation for treatment of tibial plateau fractures.Methods:The medical records of patients with tibial plateau fractures who were treated with open reduction and internal fixation from February 2005 to July 2013 were collected.The information included gender,age,fractured site,fracture type,time from injury to surgery,operative time,fracture reduction quality,complete weight-bearing walk start time,dislodgment of internal fixators and postoperative knee function scores.The fractures was classified according to classification standard of tibial plateau fractures established by General Hospital of Beijing Military District.The postoperative knee function was assessed according to knee joint scoring standard established by American Hospital for Special Surgery(HSS).The quality of fracture reduction was assessed according to fracture reduction standard established by German Charité Hospital.The factors influencing knee function recovery were screened by using multi-classification logistic regression analysis.Results:Ninty-eight patients were enrolled in the study and they consisted of 67 males and 31 females and ranged in age of 43.33+/-11.68 years.The factures located in left knee for 46 patients and right knee for 52 patients and belonged to typesⅠ(33),Ⅱ(46)andⅢ(19).The time from injury to surgery was 3.78+/-1.21 days.The operative time was 75.34+/-18.87 minutes.Fifty-five patients obtained an satisfactory fracture reduction result and 43 patients obtained an unsatisfactory fracture reduction result.The complete weight-bearing walk start time was 4.17+/-1.88 months.The internal fixators were removed in 68 cases and were not removed in 30 cases.The HSS knee function scores was 79.67+/-11.33 points.The result of logistic regression analysis showed that age,fracture type and reduction quality were the factors influencing HSS knee function scores(OR=12.000,P=0.041; OR=15.200,P=0.026; OR=11.330,P=0.033).Conclusion:Age,fracture type and reduction quality are the factors influencing knee function recovery after open reduction and internal fixation for treatment of tibial plateau fractures.

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通訊作者:楊喬輝 E-mail:[email protected]
更新日期/Last Update: 2016-10-20