克氏针结合近端锁定接骨板双排筏技术治疗胫骨外侧平台骨折疗效影响因素分析  

Influencing factors of efficacy of Kirschner wire combined with proximal locking plate double row raft technique in lateral tibial plateau fractures patients

作　　者：彭永胜 何久盛 PENG Yongsheng;HE Jiusheng(Department of Traumatic Orthopedics,Shunyi District Hospital,Beijing 101300,China)

机构地区：[1]北京顺义区医院创伤骨科,101300

出　　处：《临床外科杂志》2022年第10期984-986,共3页Journal of Clinical Surgery

摘　　要：目的分析胫骨外侧平台骨折(LTPF)病人应用克氏针结合近端锁定接骨板双排筏技术(PLPDRRT)疗效的影响因素。方法2017年1月~2021年3月本院收治的LTPF病人212例,根据手术疗效分为优良组和中差组。采用多因素Logistic回归分析LTPF病人应用克氏针结合PLPDRRT疗效的影响因素。结果212例病人中,疗效为优102例,良68例,中26例,差16例,优良组170例,中差组42例。两组年龄、骨折分型、合并膝关节其他损伤、手术时间、术中出血及术后并发症比较,差异有统计学意义(P<0.05)。Ⅵ型骨折、有膝关节周围合并伤、手术时间≥150分钟及有术后并发症是术后疗效的独立危险因素(P<0.05)。结论LTPF病人应用克氏针结合PLPDRRT的疗效影响因素较多,可能与骨折分型、合并膝关节其他损伤、手术时间长及术后并发症密切相关。Objective To analyze influencing factors of efficacy of Kirschner wire combined with proximal locking plate double row raft technique(PLPDRRT)in patients with lateral tibial plateau fractures(LTPF).Methods The data were collected from 212 LTPF patients admitted to the hospital between January 2017 and March 2021.Efficacy evaluation and grouping were conducted.The factors influencing efficacy of Kirschner wire combined with PLPDRRT were analyzed by multivariate Logistic regression analysis.Results Follow-up results showed that there were 102 cases(48.11%)with excellent,68 cases(32.08%)with good,26 cases(12.26%)with common and 16 cases(7.55%)with poor efficacy.Therefore,there were 170 cases in good group and 42 cases in poor group.Differences in age,fracture types,other knee injuries operation time,intraoperative bleeding and postoperative complications between the two groups were statistically significant(P<0.05).TypeⅥfracture,combined injury around knee,operation time≥150min and postoperative complications were independent risk factors of good efficacy(P<0.05).Conclusion There are many factors influencing efficacy of Kirschner wire combined with PLPDRRT in LTPF patients,which may be closely related to fracture types,other injuries around the knee,operation time and postoperative complications.

关 键 词：近端锁定接骨板双排筏技术 胫骨外侧平台骨折 克氏针 疗效 

分 类 号：R687.3[医药卫生—骨科学]