84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]楊小廣,楊喬輝,劉長(zhǎng)風(fēng),等.脛骨平臺(tái)骨折切開(kāi)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.
點(diǎn)擊復(fù)制

脛骨平臺(tái)骨折切開(kāi)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()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年10期
頁(yè)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(zhǎng)風(fēng); 邵譽(yù)亮; 胡建明; 沈紅全; 李鵬樂(lè)
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(kāi)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(kāi)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(lèi)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(guó)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(guó)夏里特醫(yī)院骨折復(fù)位標(biāo)準(zhǔn)。采用多分類(lèi)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(mǎn)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(lèi)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(lèi)型及復(fù)位質(zhì)量是影響脛骨平臺(tái)骨折切開(kāi)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.

參考文獻(xiàn)/References:

[1] Gardner MJ,Schmidt AH.Tibial plateau fractures[J].J Knee Surg,2014,27(1):3.
[2] Egol KA,Tejwani NC,Capla EL,et al.Staged management of high-energy proximal tibia fractures(OTA types 41):the results of a prospective,standardized protocol[J].J Orthop Trauma,2005,19(7):448-455.
[3] Hall JA,Beuerlein MJ,Mckee MD,et al.Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures.Surgical technique[J].J Bone Joint Surg Am,2009,91(Suppl 2 Pt 1):74-88.
[4] Horisberger M,Valderrabano V,Hintermann B.Posttraumatic ankle osteoarthritis after ankle-related fractures[J].J Orthop Trauma,2009,23(1):60-67.
[5] Martin A,Wohlgenannt O,Prenn Met al.Post-traumatic osteoarthritis of the knee:special indication for navigated TKA[J].Unfallchirurg,2008,111(9):754-758.
[6] 王戰(zhàn)朝.脛骨平臺(tái)骨折的分型與治療[J].中醫(yī)正骨,2012,24(3):3-8.
[7] 焦磊,朱華偉,王慧鵬.76例脛骨平臺(tái)骨折手術(shù)體會(huì)[J].中國(guó)矯形外科雜志,2014,22(6):571-572.
[8] 胥少汀,葛寶豐,徐印坎.實(shí)用骨科學(xué)[M].4版.北京:人民軍醫(yī)出版社,2012:1009.
[9] 翟獻(xiàn)斌.聯(lián)合入路雙鋼板固定結(jié)合自制接骨丹治療SchatzkerⅤ、Ⅵ型脛骨平臺(tái)骨折[J].中醫(yī)正骨,2015,27(3):41-43.
[10] Ebraheim NA,Sabry FF,Haman SP.Open reduction and internal fixation of 117 tibial plateau fractures[J].Orthopedics,2004,27(12):1281-1287.
[11] 宮偉,張朝春,張發(fā)惠.復(fù)雜脛骨平臺(tái)骨折手術(shù)療效影響因素探討[J].解剖與臨床,2009,14(2):100-102
[12] Giganti MG,Tresoldi I,Masuelli L,et al.Fracture healing:from basic science to role of nutrition[J].Front Biosci(Landmark Ed),2014,19:1162-1175.
[13] Saran U,Gemini Piperni S,Chatterjee S.Role of angiogenesis in bone repair[J].Arch Biochem Biophys,2014,561:109-117.
[14] 王順義,李輝,胡長(zhǎng)清,等.年齡對(duì)骨折愈合影響的生物信息學(xué)分析[J].天津醫(yī)藥,2015,43(6):616-619.
[15] 陳紅衛(wèi).脛骨平臺(tái)骨折的分類(lèi)與手術(shù)治療進(jìn)展[J].中醫(yī)正骨,2015,27(3):1-4.
[16] Urruela AM,Davidovitch R,Karia R,et al.Results following operative treatment of tibial plateau fractures[J].J Knee Surg,2013,26(3):161-165.
[17] 賈其余,鄭曙翹,董力軍,等.影響脛骨平臺(tái)骨折手術(shù)療效的相關(guān)因素分析[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2007,22(9):726-728.
[18] Cetik O,Cift H,Asik M.Second-look arthroscopy after arthroscopy-assisted treatment of tibial plateau fractures[J].Knee Surg Sports Traumatol Arthrosc,2007,15(6):747-752.
[19] Nesterenko S,Morrey ME,Abdel MP,et al.New rabbit knee model of posttraumatic joint contracture:indirect capsular damage induces a severe contracture[J].J Orthop Res,2009,27(8):1028-1032.

相似文獻(xiàn)/References:

[1]肖善富,張喜善,于鳳珍.髕下小切口鋼絲紐扣式內(nèi)固定治療脛骨髁間隆突骨折[J].中醫(yī)正骨,2015,27(11):34.
[2]鄧偉哲,王宏晶,王宇恒,等.微創(chuàng)針刀鏡治療難治性膝關(guān)節(jié)類(lèi)風(fēng)濕關(guān)節(jié)炎[J].中醫(yī)正骨,2015,27(11):42.
[3]葛波涌,王玉波,王明太,等.交鎖髓內(nèi)釘內(nèi)固定治療脛骨干骨折的臨床研究[J].中醫(yī)正骨,2015,27(10):8.
　GE Boyong,WANG Yubo,WANG Mingtai,et al.Clinical study on the internal fixation with interlocking intramedullary nail for the treatment of tibial shaft fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(10):8.
[4]全先輝,萬(wàn)春友,劉磊,等.Taylor空間支架外固定治療脛腓骨開(kāi)放性骨折[J].中醫(yī)正骨,2015,27(10):30.
[5]何 濤.有限切開(kāi)植骨鋼板內(nèi)固定治療 SchatzkerⅡ、Ⅲ型脛骨平臺(tái)骨折[J].中醫(yī)正骨,2015,27(09):22.
[6]何忠,黃宗權(quán),王強(qiáng),等.脛骨中下段螺旋形骨折合并后踝裂紋骨折的診治體會(huì)[J].中醫(yī)正骨,2015,27(09):28.
[7]趙新杰,孫實(shí),武愛(ài)玲.中醫(yī)藥治療膝關(guān)節(jié)滑膜炎的研究進(jìn)展[J].中醫(yī)正骨,2015,27(08):65.
[8]鄭昱新,詹紅生,莫文,等.滑膜炎顆粒治療膝關(guān)節(jié)滑膜炎濕熱阻絡(luò)證的隨機(jī)、 雙盲、安慰劑對(duì)照、多中心臨床研究[J].中醫(yī)正骨,2015,27(12):29.
　ZHENG Yuxin,ZHAN Hongsheng,MO Wen,et al.A randomized,double-blind,placebo-controlled,multicenter,clinical trial of Huamoyan Keli(滑膜炎顆粒)for treatment of gonarthromeningitis with DAMPNESS-HEAT BLOCK COLLATERALS syndrome[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(10):29.
[9]王慶東,李付彬,徐向峰,等.關(guān)節(jié)鏡下可吸收螺釘內(nèi)固定治療兒童脛骨髁間嵴骨折[J].中醫(yī)正骨,2015,27(12):52.
[10]張一鳴,張學(xué)民,陸洲.經(jīng)皮解剖型鎖定鋼板固定治療脛骨遠(yuǎn)端骨折[J].中醫(yī)正骨,2015,27(02):47.
[11]李楠,李鋒.脛骨平臺(tái)骨折的手術(shù)治療進(jìn)展[J].中醫(yī)正骨,2015,27(12):78.
[12]陳利軍,田野,劉文剛,等.非典型膝關(guān)節(jié)外傷后脛骨近端隱匿性骨折的影像診斷[J].中醫(yī)正骨,2015,27(06):26.
[13]張阿雷.關(guān)節(jié)囊外復(fù)位內(nèi)固定治療脛骨平臺(tái)骨折[J].中醫(yī)正骨,2016,28(01):54.
[14]尚延春,孟慶陽(yáng),柴巍巍.腓骨頸截骨入路切開(kāi)復(fù)位鋼板內(nèi)固定治療脛骨平臺(tái)后外側(cè)骨折[J].中醫(yī)正骨,2018,30(01):55.
[15]杜澤坤,田鴻來(lái).脛骨平臺(tái)后外側(cè)骨折內(nèi)固定物及手術(shù)入路的研究進(jìn)展[J].中醫(yī)正骨,2023,35(12):50.

備注/Memo

備注/Memo:

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