| 黄志龙.改良Carlson 后外侧入路钢板内固定治疗胫骨平台后外侧柱骨折的临床研究[J].中国烧伤创疡杂志,2019,31(6):409~412. |
| DOI： |
| 中文关键词: 胫骨平台骨折 Carlson 后外侧入路 后外侧倒“L” 形入路 骨折内固定 疗效 |
| 英文关键词:Fractures of the tibial plateau Carlson’s posterolateral approach Posterolateral reversed “L”approach Internal fixation of fracture Clinical efficacy |
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| 中文摘要: |
| 【摘要】 目的 探析改良Carlson后外侧入路钢板内固定治疗胫骨平台后外侧柱骨折的临床效果?方法 选取2016 年6 月至2018 年6 月核工业四一七医院外科收治的67 例胫骨平台后外侧柱骨折患者作为研究对象, 并按照随机数表法将其随机分为治疗组(34 例) 与对照组(33 例), 其中治疗组患者采用改良Carlson 后外侧入路钢板内固定治疗, 对照组患者采用改良膝关节后外侧倒“L” 形入路钢板内固定治疗, 对比观察两组患者的骨折愈合时间?不良反应发生情况以及术后3?6?12 个月的美国特种外科医院(hospital for special surgery, HSS) 膝关节评分与膝关节活动度(range of motion, ROM)?结果 治疗组患者骨折愈合时间及不良反应发生情况与对照组均无明显差异(t =1.154?χ2 =0.194, P =0.253?0.659); 治疗组患者术后3 个月的HSS 评分及ROM 均明显高于对照组(t = 3.151?2.123, P = 0.003?0.038), 术后6 个月的HSS 评分及ROM 也明显高于对照组(t =2.549?2.100, P =0.013?0.040), 术后12 个月的HSS 评分及ROM 与对照组无明显差异(t = 1.575?0.693,P =0.120?0.491)?结论 改良Carlson 后外侧入路钢板内固定治疗胫骨平台后外侧柱骨折可明显促进患者的膝关节功能恢复, 效果显著, 值得临床推广应用? |
| 英文摘要: |
| 【Abstract】 Objective To analyze the clinical effect of a modified Carlson’s posterolateral approach in the treatment of posterolateral coronal fracture of the tibial plateau. Methods Sixty-seven patients with posterolateral coronal fractures of the tibial plateau admitted into the Surgery Department of Nuclear Industry 417 Hospital from June 2016 to June 2018 were selected as subjects to be divided, according to the random number table, into a treatment groups (34 cases)and a control group (33 cases). The patients in the treatment group were treated with a modified Carlson’s posterolateral
approach of steel plate whereas the patients in the control group with posterolateral reversed L approach of steel plate. The fracture healing time, the occurrence of adverse reactions, and hospital for special surgery (HSS) knee joint score and range of motion (ROM) at the time points of month 3, 6 and 12 postoperation were observed and compared between the two groups. Results No significant difference was observed in the fracture healing time and occurrence of adverse reactions between the treatment group and the control group (t =1.154, χ2 =0.194, P =0.253 and 0.659 respectively). On month
3 postoperation, the HSS score and ROM in the treatment group were significantly higher than that in the control group (t =3.151 and 2.123 respectively, P =0.003 and 0.038 respectively). On month 6 postoperation, the HSS score and ROM in the treatment group were also significantly higher than that in the control group (t = 2.549 and 2.100 respectively, P =0.013 and 0.040 respectively). However, on month 12 postoperation, no significant statistical difference was observed in terms of HSS score and Rom between the two groups (t =1.575 and 0.693 respectively, P =0.120 and 0.491 respectively). Conclusion The modified Carlson’s posterolateral approach for the treatment of posterolateral coronal fractures of the tibial plateau can markedly promote the recovery of knee function, deserving to be promoted in clinical practice with the definite clinical efficacy. |
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