胫骨平台骨折手术内固定失败原因分析

Analysis of Failure of Internal Fixation for Tibial Plateau Fractures

目的探讨胫骨平台骨折手术内固定失败原因分析。方法收集2013年1月—2016年1月我院接受胫骨平台骨折手术的患者作为研究对象,受伤类型为摔伤、交通伤、高处坠落等。Schatzker分型:Ⅰ型、Ⅱ型、Ⅲ型、Ⅳ型。根据患者术后Rasmussen膝关节功能标准,将患者分为手术失败组(Rasmussen膝关节功能评分<9分)和手术成功组(Rasmussen膝关节功能评分≥10分)。收集两组患者手术资料,术后随访情况,对比两组患者一般临床资料。结果两组患者临床资料中内固定方式、手术时机、手术入路、术后功能锻炼、负重时间、感染比较,差异具有统计学意义(P<0.05)。结论胫骨平台骨折手术内固定失败原因与内固定方式、手术时机、手术入路、术后功能锻炼、负重时间、感染相关,积极进行干预,可以减少手术失败的发生。

Objective To study the internal fixation oftibial plateau fracture surgery failure cause analysis. Methods Patients with tibial plateau fracture surgery in our hospital from January 2013 to January 2016 were selected as the study object, injury types for the fall, traffic injury, falls, etc. Schatzker type： type Ⅰ, Ⅱ, Ⅲ and Ⅳ. According to the Rasmussen knee joint function after surgery for patients with standard, divided the patients into surgery failure group （Rasmussen knee function score less than 9 points） and successful operation group （Rasmussen knee function score more than 10 points）. Two groups of patients with information collection, postoperative follow-up and compared the two groups of general clinical data. Results Two group in the general clinical data within the fixed way, operation time, surgical approach time, infection, postoperative function exercise, weight were compared with each other, the difference was statistically significant （P〈0.05）. Conclusion Internal fixation of tibial plateau fracture surgery failure reasons and internal fixation methods, operation time, surgical approach, postoperative function exercise, weight bearing time, infection, actively intervene, which can reduce the occurrence of failure.