双切口双钢板内固定与单侧锁定钢板内固定对胫骨平台骨折患者膝关节内翻角、后倾角的影响  

Effect of Double Incision Double Plate Internal Fixation and Unilateral Locking Plate Internal Fixation on Knee Varus Angle and Posterior Slope Angle in Patients with Tibial Plateau Fracture

作　　者：涂阳 TU Yang(Orthopedics Department of Yiyang County People's Hospital,Yiyang 334400,Jiangxi,China)

机构地区：[1]弋阳县人民医院骨科,江西弋阳334400

出　　处：《医学信息》2025年第8期100-104,共5页Journal of Medical Information

摘　　要：目的 比较双切口双钢板内固定与单侧锁定钢板内固定对胫骨平台骨折患者膝关节内翻角、后倾角的影响。方法 选取弋阳县人民医院2021年5月-2023年8月收治的胫骨平台骨折患者62例作为研究对象,根据随机数字表法将其分为对照组与研究组,每组31例。对照组给予单侧锁定钢板内固定术治疗,研究组采用双切口双钢板内固定术治疗。比较两组手术及恢复指标(手术时间、术中出血量、切口长度、术后引流量、骨折愈合时间、下床时间、住院时间)、膝关节功能(疼痛、功能、活动度、肌力、屈膝畸形、稳定性)、膝关节功能优良率、膝关节内翻角及后倾角、生活质量(躯体疼痛、情感职能、生理功能、社会功能)。结果 研究组手术时间长于对照组,而术中出血量、切口长度、术后引流量、骨折愈合时间、下床时间、住院时间均低于对照组(P<0.05);研究组治疗后膝关节功能评分高于对照组(P<0.05)。研究组膝关节功能优良率为96.77%,对照组膝关节功能优良率为74.19%,差异有统计学意义(P<0.05)。研究组治疗后膝关节内翻角、后倾角均低于对照组(P<0.05)。研究组治疗后生活质量评分高于对照组(P<0.05)。结论 双切口双钢板内固定治疗胫骨平台骨折患者的效果更为确切,能够促进患者康复,提高患者膝关节功能以及生活质量,改善患者膝关节内翻角、后倾角,值得临床应用。Objective To compare the effects of double incision double plate internal fixation and unilateral locking plate internal fixation on knee varus angle and posterior slope angle in patients with tibial plateau fractures.Methods A total of 62 patients with tibial plateau fractures admitted to Yiyang County People's Hospital from May 2021 to August 2023 were selected as the research objects.According to the random number table method,they were divided into control group and study group,with 31 patients in each group.The control group was treated with unilateral locking plate internal fixation,and the study group was treated with double incision double plate internal fixation.The operation and recovery indexes(operation time,intraoperative blood loss,incision length,postoperative drainage volume,fracture healing time,ambulation time,hospitalization time),knee function(pain,function,activity,muscle strength,flexion deformity,stability),excellent and good rate of knee function,knee pronation angle and caster angle,quality of life(physical pain,emotional function,physiological function,social function) were compared between the two groups.Results The operation time of the study group was longer than that of the control group,while the intraoperative blood loss,incision length,postoperative drainage volume,fracture healing time,ambulation time and hospitalization time were lower than those of the control group( P<0.05).After treatment,the knee function score of the study group was higher than that of the control group(P<0.05).The excellent and good rate of knee joint function in the study group was96.77%,and the excellent and good rate of knee joint function in the control group was 74.19%,the difference was statistically significant( P<0.05).After treatment,the knee pronation angle and caster angle of the study group were lower than those of the control group( P<0.05).After treatment,the quality of life scores of the study group were higher than those of the control group(P <0.05).Conclusion Double incision double plate

关 键 词：双切口双钢板内固定 单侧锁定钢板内固定 胫骨平台骨折 内翻角 后倾角 

分 类 号：R687.3[医药卫生—骨科学]