早期应用跨关节外固定支架对胫骨平台骨折患者膝关节软组织的保护效果  

Early application of cross joint external fixators for protecting the soft tissue of the knee joint in patients with tibial plateau fractures

作　　者：齐巍[1] 高烁[1] 左金增[1] 王一兵[1] 侍朋举[1] 孙柏山[1] 王建生[1] QI Wei;GAO Shuo;ZUO Jinzeng(The Second Hospital of Tangshan,Hebei,Tangshan 063000,China)

机构地区：[1]河北省唐山市第二医院,063000

出　　处：《河北医药》2024年第12期1822-1825,共4页Hebei Medical Journal

基　　金：河北省医学科学研究课题(编号:20191513)。

摘　　要：目的 探讨早期应用跨关节外固定支架治疗,对Ⅵ型胫骨平台骨折患者膝关节软组织的保护效果。方法 选取2019年1月至2020年12月收治的Ⅵ型胫骨平台骨折患者122例为研究对象,以信封法进行随机分成研究组和对照组,每组61例。研究组患者给予早期(收治12 h内)跨关节外固定支架联合内固定手术;对照组患者给予延期(收治24~72 h内)跨关节外固定支架联合内固定手术。观察和比较2组患者的手术情况指标、术后恢复指标、膝关节疗效、膝关节功能评分、膝关节软组织损伤指标。结果 研究组外固定手术时间和内固定手术时间均短于对照组,外固定术后VAS评分低于对照组,内固定术中出血少于对照组;研究组康复时间和骨折愈合时间均短于对照组,差异均有统计学意义(P<0.05);2组并发症发生率和膝关键治疗优良率比较,差异无统计学意义(P>0.05);术后,2组患者各项膝关节功能评分均降低,且研究组低于对照组,差异均有统计学意义(P<0.05);研究组外固定术后水疱发生率低于对照组,外固定术后肿胀程度小于对照组,水疱痂皮愈合时间早于对照组,差异均有统计学意义(P<0.05)。结论 与延期时机相比,给予Ⅵ型胫骨平台骨折患者早期跨关节外固定支架联合内固定手术治疗,能够缩短手术时间,提升患者骨折愈合和术后康复进程,促进患者膝关节功能和膝关节软组织损伤的恢复。Objective To explore the protective effect of early application of cross joint external fixators on knee joint soft tissue in patients with typeⅥtibial plateau fractures.Methods A total of 122 patients with typeⅥtibial plateau fractures admitted to our hospital from January 2019 to December 2020 were selected as the study subjects.They were randomly assigned into the study group(n=61)and the control group(n=61)using the envelope method.Patients in the study group were treated with early application of cross joint external fixators within 12 hours of admission combined with internal fixation surgery.Patients in the control group patients were treated with delayed application of cross joint external fixators within 24-72 hours of admission combined with internal fixation surgery.The surgical performance indicators,postoperative recovery indicators,knee joint efficacy,knee joint function scores,and knee joint soft tissue injury indicators between the two groups were observed and compared.Results The external and internal fixation surgery time in the study group was significantly shorter than that of the control group(P<0.05).Patients in the study group had significantly lower Visual Analogue Scale(VAS)score after external fixation surgery and less bleeding during internal fixation surgery than those of the control group(P<0.05).The rehabilitation time and fracture healing time of the study group were significantly shorter than those of the control group(P<0.05).There were no significant differences in the incidence of complications and the excellent rate of knee treatment between the two groups(P>0.05).After surgery,the knee joint function scores of both groups decreased,which were significantly lower in the study group than those of the control group(P<0.05).Patients in the study group had significantly lower incidence of blisters after external fixation surgery,lower degree of swelling after external fixation surgery and faster healing of blister scabs than those of control group(P<0.05).Conclusion Compared wi

关 键 词：跨关节外固定支架 早期应用 胫骨平台骨折 膝关节 软组织 

分 类 号：R683.423[医药卫生—骨科学]