| 张耀华,张梦华,佘 恒.胫骨骨折患者髌上与髌下入路髓内钉内固定术后膝前疼痛情况对比分析[J].中国烧伤创疡杂志,2023,35(1):62~65. |
| DOI： |
| 中文关键词: 髌上入路 髌下入路 髓内钉内固定 胫骨骨折 膝前疼痛 |
| 英文关键词:Suprapatellar approach Infrapatellar approach Intramedullary nail fixation Tibial fracture Anterior knee pain |
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| 中文摘要: |
| 【摘要】 目的 对比观察胫骨骨折患者髌上入路与髌下入路髓内钉内固定术后的膝前疼痛程度。 方法 选取2018 年12 月至2020 年2 月郑州人民医院收治的98 例拟行髓内钉内固定术治疗的胫骨骨折患者作为研究对象,按照随机数表法将其随机分为观察组 (49 例) 和对照组 (49 例)。 观察组患者采用髌上入路髓内钉内固定术治疗, 对照组患者采用髌下入路髓内钉内固定术治疗, 对比观察两组患者阿伯丁负重试验-膝关节 (AWT-K) 评分和视觉模拟评分法 (VAS) 评分。 结果 术后 6 个月, 观察组患者在 30? 45? 60 s 时的 AWT-K 评分均明显高于对照组 (t = 2. 047? 4. 754? 7. 000, P = 0. 043? P < 0. 001? P < 0. 001); 术后 12 个月, 观察组患者在 15? 30?45? 60 s 时的 AWT-K 评分均明显高于对照组 (t =4. 030? 4. 556? 9. 134? 11. 050, P 均 <0. 001); 术后 6? 12 个月, 观察组患者 VAS 评分均明显低于对照组 (t =4. 567? 12. 600, P 均 <0. 001)。结论 与髌下入路髓内钉内固定术相比, 髌上入路髓内钉内固定术可明显减轻胫骨骨折患者术后膝前疼痛程度, 提高膝关节承重能力。 |
| 英文摘要: |
| 【Abstract】 Objective To compare the degree of anterior knee pain of patients with tibial fracture after intramedullary nail fixation by suprapatellar and infrapatellar approaches. Methods 98 patients with tibial fracture, admitted to People’s Hospital of Zhengzhou from December 2018 to February 2020 for intramedullary nail fixation, were enrolled as research subjects and then divided, using the random number table, into study group (n =49) and control group (n =49).Patients in study group were treated with intramedullary nail fixation by suprapatellar approach, whereas patients in control group were treated with intramedullary nail fixation by infrapatellar approach. The Aberdeen weight-bearing test-knee (AWT-K) score and visual analogue scale (VAS) score of patients were observed and compared between the two groups.Results At six months after operation, the AWT-K scores of patients respectively at 30 s, 45 s and 60 s were allsignificantly higher in study group compared with control group (t =2. 047, 4. 754 and 7. 000, P =0. 043, P <0. 001, P <0. 001); at twelve months after operation, the AWT-K scores of patients respectively at 15 s, 30 s, 45 s and 60 s were all significantly higher in study group compared with control group (t =4. 030, 4. 556, 9. 134 and 11. 050, all P <0. 001); at 6 and 12 months after operation, the VAS scores of patients were significantly lower in study group compared with control group (t =4. 567 and 12. 600, both P <0. 001). Conclusion Compared with the infrapatellar-approached intramedullary nail fixation, the suprapatellar-approached intramedullary nail fixation is better in alleviating anterior knee pain for patients with tibial fracture and increasing their knee bearing capacity. |
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