切开复位内固定术治疗胫骨平台骨折的疗效评价及术后膝关节功能康复的影响因素分析  

Evaluation of the Effect of Open Reduction and Internal Fixation in the Treatment of Tibial Plateau Fractures and the Influencing Factors of Postoperative Knee Rehabilitation

作　　者：侯小冬[1] 付鲲鹏[1] 闫厚军[1] 王磊[1] Hou Xiao-dong Fu Kun-peng Yan Hou-jun et al.(Department of Orthopedic No2 , the 252 Hospital of PLA, Baoding 071000, China)

机构地区：[1]中国人民解放军252医院创伤骨二科,保定071000

出　　处：《中国医药导刊》2017年第4期358-359,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:评价ORIF的临床疗效,总结影响术后膝关节功能康复的相关因素。方法:探讨150例实施切开复位内固定术患者的疗效,对相关指标进行Logistic回归分析。结果:Rasmussen胫评分提示ORIF的疗效可靠;年龄、糖尿病、初始平台塌陷深度、术中感染等因素是影响术后膝关节功能康复的关键因素。结论:ORIF是治疗胫骨平台骨折的有效方法,重视相关因素有助于改善预后质量。Objective:To evaluate the clinical efficacy of ORIF and summarize the related factors affecting the recovery of knee function after operation.Methods:150 cases of patients with open reduction and internal fixation were studied,and the related indexes were analyzed by Logistic regression.Results:The Rasmussen tibial score indicated that ORIF was reliable,and the factors such as age,diabetes,the depth of the initial platform collapse,and intraoperative infection were die key factors affecting the recovery of knee function after surgery.Conclusion:ORIF is an effective method for the treatment of tibial plateau fractures.

关 键 词：胫骨平台骨折 切开复位内固定术 疗效 膝关节功能康复 影响因素 

分 类 号：R687.3[医药卫生—骨科学]