两种方法治疗胫骨髁部骨折20例疗效分析  

Clinical Observation of Two ITWM Methods for Tibial Condylar Fractuer

作　　者：奚小冰[1] 杜宁[1] 曲克服[1] 徐敏新[1] 杨健[1] 杨琦 李舸[1] 

机构地区：[1]上海第二医科大学附属瑞金医院伤科

出　　处：《中国中医骨伤科》1997年第5期14-17,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的：比较两种不同的中西医结合治疗胫骨髁部骨折的方法的疗效。方法：切开复位、植骨、坚强内固定、早期无痛功能锻炼、中药松粘汤内服外洗与内固定加外固定，中药内服外洗二种中西医结合的方法治疗胫骨髁部骨折２０例，并作五方面的比较：骨折整复情况、术后制动时间、下地时间、恢复正常行走时间、膝关节功能。结果：上述五个方面，前者明显优于后者（Ｐ＜０．００１）。胫骨髁部骨折整复情况同术后膝关节功能正相关（Ｐ＜０．００１）；膝关节功能同制动时间，下地时间，恢复正常行走时间负相关（Ｐ＜０．００１）。结论：解剖复位、坚强内固定、早期无痛功能锻炼、中药松粘汤内服外洗防治膝关节粘连的中西医结合方法可能是一种比较好的治疗胫骨髁部骨折的方法。To compare the curative effects of two treatment methods of integration of traditional and western medicine for tibiae condylar fracture.Methods:20 cases of tibiae condylar fracture (20 tibiae)were treated with two kinds of method respectively:I open reduction,rigid internal fixation,early pain-free exercise with oral medication and external bath of Songniantang,10 cases;Ⅱ internal and external fixations with oral medication and exernal bath of Songniantang,10 cases.Two medthods were compared in five aspects:the condition of reduction,the time of postoperative immobilization,the time for restoring non-weight-bearing ambulation,the time for restoring normal walking and the function of the knee.Results:Method Ⅰ was superior to method Ⅱ in all thest aspects mentioned above.The condition of reduction was positively correlated with the function of the knee (P<0.001),while there was negative correlation between the function of the knee and the time of postoperative immobilization,the time for restoring non-weight-bearing ambulaltion,the time for restoring normal walking,respectively (P<0.001).Conclusion:MethodⅠmay the better therapy for tibial condylar fracture.

关 键 词：胫骨髁骨折 中西医结合治疗 治疗 

分 类 号：R683.420.5[医药卫生—骨科学]