胫骨平台骨折手术治疗结果与临床及放射学表现的比较

Sanamed Pub Date : 2019-08-04 DOI:10.24125/SANAMED.V14I2.310
L. Kehribar, Levent Karapınar
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引用次数: 2

摘要

引言:在这项回顾性研究中,旨在评估胫骨平台骨折的手术治疗结果与临床和放射学表现之间的相关性。患者与方法:1996~2006年,对32例胫骨平台骨折患者33膝进行手术治疗。男性29例,女性3例。开放性胫骨平台骨折3例(9.99%)。平均年龄45岁。使用Schatzker分类法分类的骨折为:17(52%)1型、12(12%)2型、9(27%)5型和6(9%)6型。术后患者至少44周,最长480周(平均60周)。结果:33例患者的结果均由Rasmussen的临床和放射学系统确定。根据临床表现,优17例,良9例,中6例,差1例。根据放射学表现,优9例,良16例,中6例,差2例。临床和放射学检查结果之间的差异用Pearson核心分析进行分析,具有统计学意义(p 0.005)。骨折等级和骨折程度的分析具有统计意义(p<0.005)。42.4%的患者有半月板损伤。因此,关节镜检查应与手术配合使用。结论:解剖复位、关节固定牢靠、早期活动可减少并发症,改善胫骨平台骨折膝关节功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPARISON OF SURGICAL TREATMENT RESULTS AND CLINICAL AND RADIOLOGICAL FINDINGS OF TIBIAL PLATEAU FRACTURES
Introduction : In this retrospective study, it was aimed to evaluate the correlation between operative treatment results and clinical and radiological findings of tibial plateau fractures. Patients and Methods: Between 1996 and 2006, 33 knees were operated for tibia plateau fracture of 32 patients. 29 patients were male and 3 were female. Only 3 cases (9.99%) were open tibial plateau fractures. The mean age was 45 years. Fractures classified using the Schatzker classification were: 17 (52%) type 1, 12 (12%) type 2, 9 (27%) type 5 and 6 (9%) type 6. Patients following the period were at least 44 weeks and maximum 480 weeks (mean 60 weeks). Results : The results of 33 patients were determined by the clinical and radiological system of Rasmussen. According to clinical findings, 17 cases were excellent, 9 were good, 6 were medium and 1 was poor. According to the radiological findings, 9 cases were excellent, 16 were good, 6 were medium and 2 were bad. The difference between clinical and radiological findings was analyzed with Pearson core analysis and statistically significant (p 0.005). The analyzes of the grade of fracture and the degree of fracture were statistically significant (p <0.005). 42.4% of all patients had meniscus injury. Therefore, arthroscopy should be used with surgery. Conclusion: Anatomic reduction, rigid fixation of the joint and early mobilization can reduce complications and improve the function of the knee joint in tibial plateau fractures.
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