前交叉韧带重建术在胫骨平台骨折合并韧带损伤患者中的临床效果及对并发症发生率的影响研究

The Clinical Effect of Anterior Cruciate Ligament Reconstruction in Patients with Tibial Plateau Fracture Combined with Ligament Injury and Its Effect on the Incidence of Complications

目的:探究前交叉韧带重建术在胫骨平台骨折合并韧带损伤患者中的临床效果及对并发症发生率的影响。方法:选取2013年1月-2018年1月本院收治的胫骨平台骨折合并韧带损伤患者30例,按照随机数字表法将患者分为研究组和对照组,各15例。对照组使用常规手术治疗,研究组使用前交叉韧带重建术治疗。比较两组患者的手术指标、临床效果和并发症发生情况。结果:研究组手术时间以及住院时间均长于对照组(P<0.05),出血量大于对照组(P<0.05);研究组治疗总有效率高于对照组(P<0.05);研究组膝关节不稳定发生率低于对照组(P<0.05),两组的切口不良愈合、感染、关节僵硬、骨筋膜室综合征发生率比较,差异均无统计学意义(P>0.05)。结论:在对胫骨平台骨折合并韧带损伤患者进行治疗的过程中,采用前交叉韧带重建术,能够有效改善患者手术指标,优化临床效果,减少并发症的发生,对提升患者生存质量具有重要意义,应当在临床中进一步推广。

Objective:To investigate the clinical effect of anterior cruciate ligament reconstruction in patients with tibial plateau fracture combined with ligament injury and its effect on the incidence of complications.Method:30 patients with tibial plateau fracture and ligament injury admitted to our hospital from January 2013 to January 2018 were selected,patients were divided into study group and control group according to the random number table method,15 cases in each group.The control group was treated with conventional surgery,and the study group was treated with anterior cruciate ligament reconstruction.The surgical indexes,clinical effects and complications were compared between the two groups.Result:The operation time and hospital stay of the study group were longer than those of the control group(P<0.05),and the amount of bleeding was higher than that of the control group(P<0.05).The total effective rate in the study group was higher than that in the control group(P<0.05).The incidence of knee joint instability in the study group was lower than that in the control group(P<0.05).The incidences of poor wound healing,infection,joint stiffness and osteofascial compartment syndrome were compared between the two groups,the differences were not statistically significant(P >0.05).Conclusion:In the treatment of patients with tibial plateau fracture combined with ligament injury,anterior cruciate ligament reconstruction can effectively improve the surgical indicators of patients,optimize the clinical effect and reduce the occurrence of complications,which is of great significance for improving the quality of life of patients and should be further promoted in clinical practice.