[1]杨小广,杨乔辉,刘长风,等.胫骨平台骨折切开复位内固定术后膝关节功能恢复的影响因素分析[J].中医正骨,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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胫骨平台骨折切开复位内固定术后膝关节功能恢复的影响因素分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年10期
页码:
11-13
栏目:
临床研究
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:
杨小广; 杨乔辉; 刘长风; 邵誉亮; 胡建明; 沈红全; 李鹏乐
甘肃省陇南市第一人民医院,甘肃 陇南 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
关键词:
胫骨骨折;  膝关节;  关节功能;  骨折固定术; 内;  Logistic模型;  回归分析
Keywords:
tibial fractures;  knee joint;  joint function;  fracture fixation; internal;  logistic models;  regression analysis
摘要:
目的:探讨胫骨平台骨折切开复位内固定术后膝关节功能恢复的影响因素。方法:收集2005年2月至2013年7月采用切开复位内固定术治疗的胫骨平台骨折患者的病例资料,包括患者的性别、年龄、骨折部位、骨折类型、受伤至手术时间、手术时间、骨折复位质量、完全负重时间、内固定是否取出及术后膝关节功能评分。骨折分型按照北京军区总医院胫骨平台骨折分型标准,术后膝关节功能评定采用美国特种外科医院(Hospital for Special Surgery,HSS)膝关节评分标准,骨折复位质量评定参照德国夏里特医院骨折复位标准。采用多分类Logistic回归分析筛选膝关节功能恢复的影响因素。结果:纳入研究的病例共98例,男67例、女31例; 年龄(43.33±11.68)岁; 左膝46例,右膝52例; Ⅰ型33例,Ⅱ型46例,Ⅲ型19例; 受伤至手术时间(3.78±1.21)d; 手术时间(75.34±18.87)min; 复位满意55例,复位欠佳43例; 完全负重时间(4.17±1.88)个月; 内固定已取出68例,未取出30例; 膝关节HSS评分(79.67±11.33)分。经Logistic回归分析,年龄、骨折类型及复位质量是膝关节HSS评分的影响因素(OR=12.000,P=0.041; OR=15.200,P=0.026; OR=11.330,P=0.033)。结论:年龄、骨折类型及复位质量是影响胫骨平台骨折切开复位内固定术后膝关节功能恢复的因素。
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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备注/Memo

备注/Memo:

通讯作者:杨乔辉 E-mail:595608569@qq.com
更新日期/Last Update: 2016-10-20