实用骨科杂志
實用骨科雜誌
실용골과잡지
JOURNAL OF PRACTICAL ORTHOPEDICS
2009年
7期
507-509
,共3页
胫骨平台骨折%影像学%临床功能
脛骨平檯骨摺%影像學%臨床功能
경골평태골절%영상학%림상공능
tibial plateau fracture%radiology%clinical function
目的 通过对胫骨平台骨折术后病例资料的随访,比较术后膝关节功能与影像表现间的关系.方法 对2001年～2007年的31 例胫骨平台骨折手术患者进行回顾性分析,平均随访时间(37±3)个月.采用膝关节外科协会(the hospital for special surgery,HSS)评分系统评价膝关节功能;Rasmussen胫骨髁部骨折复位解剖学评分和Reswick-Niwayama评分分别评价骨折术后早期和随访时关节退变的影像表现;统计学采用"诊断试验的一致性检验"分别比较Rassmussen评分、Reswick-Niwayama评分与HSS评分之间的一致性;两变量间的相关性分析比较Rassmussen评分与Reswick-Niwayama评分的相关性,数据经SPSS11.5软件处理.结果 Rassmussen评分:优7 例,良14 例,可10 例;Reswick-Niwayama评分:0级6 例,1级9 例,2级16 例;HSS评分:优16 例,良13 例,中2 例.Rassmussen评分、Reswick-Niwayama评分与HSS评分之间的一致性差;Rassmussen评分与Reswick-Niwayama评分之间的相关性有显著统计学差异(P＜0.05).结论 在影像表现上,胫骨平台骨折术后早期表现与随访时关节退变程度之间有相关性,但骨折术后影像表现不能完全反映术后膝关节功能状态.
目的 通過對脛骨平檯骨摺術後病例資料的隨訪,比較術後膝關節功能與影像錶現間的關繫.方法 對2001年～2007年的31 例脛骨平檯骨摺手術患者進行迴顧性分析,平均隨訪時間(37±3)箇月.採用膝關節外科協會(the hospital for special surgery,HSS)評分繫統評價膝關節功能;Rasmussen脛骨髁部骨摺複位解剖學評分和Reswick-Niwayama評分分彆評價骨摺術後早期和隨訪時關節退變的影像錶現;統計學採用"診斷試驗的一緻性檢驗"分彆比較Rassmussen評分、Reswick-Niwayama評分與HSS評分之間的一緻性;兩變量間的相關性分析比較Rassmussen評分與Reswick-Niwayama評分的相關性,數據經SPSS11.5軟件處理.結果 Rassmussen評分:優7 例,良14 例,可10 例;Reswick-Niwayama評分:0級6 例,1級9 例,2級16 例;HSS評分:優16 例,良13 例,中2 例.Rassmussen評分、Reswick-Niwayama評分與HSS評分之間的一緻性差;Rassmussen評分與Reswick-Niwayama評分之間的相關性有顯著統計學差異(P＜0.05).結論 在影像錶現上,脛骨平檯骨摺術後早期錶現與隨訪時關節退變程度之間有相關性,但骨摺術後影像錶現不能完全反映術後膝關節功能狀態.
목적 통과대경골평태골절술후병례자료적수방,비교술후슬관절공능여영상표현간적관계.방법 대2001년～2007년적31 례경골평태골절수술환자진행회고성분석,평균수방시간(37±3)개월.채용슬관절외과협회(the hospital for special surgery,HSS)평분계통평개슬관절공능;Rasmussen경골과부골절복위해부학평분화Reswick-Niwayama평분분별평개골절술후조기화수방시관절퇴변적영상표현;통계학채용"진단시험적일치성검험"분별비교Rassmussen평분、Reswick-Niwayama평분여HSS평분지간적일치성;량변량간적상관성분석비교Rassmussen평분여Reswick-Niwayama평분적상관성,수거경SPSS11.5연건처리.결과 Rassmussen평분:우7 례,량14 례,가10 례;Reswick-Niwayama평분:0급6 례,1급9 례,2급16 례;HSS평분:우16 례,량13 례,중2 례.Rassmussen평분、Reswick-Niwayama평분여HSS평분지간적일치성차;Rassmussen평분여Reswick-Niwayama평분지간적상관성유현저통계학차이(P＜0.05).결론 재영상표현상,경골평태골절술후조기표현여수방시관절퇴변정도지간유상관성,단골절술후영상표현불능완전반영술후슬관절공능상태.
Objective To compare the knee clinical function after the open reduction and internal fixation with the roentgenographic examination by followed up the tibial plateau fracture cases.Methods Thirty-one tibial plateau fractures from 2001 to 2007 had been retrospectively analyzed,the average time were 37±3 months.The Hospital for Special Surgery(HSS) knee-rating score are used to assess the patient clinical function.The Rasmussen′s anatomical grading system at the postoperatively and the Reswick-Niwayama criteria on the degenerative grading scale at the late stage are used respectively.The statistics method:we use the consistency examination of the diagnosis test to compare with the consistency about the Rasmussen′s anatomical grading system,Reswick-Niwayama and The Hospital for Special Surgery knee-rating score criteria differently,and analyze the relativity about the Rassmussen score and Reswick-Niwayama score with the two variable relativity analysis,the spss 11.5 software deal with the data.Results Based on the Rasmussen′s anatomical grading system,seven of them had excellent result,fourteen were good,ten were fair,no poor cases.The Reswick-Niwayama criteria,six were 0 grade,one were 1 grade,sixteen were 2 grade,no one were 3 grade.The Hospital for Special Surgery knee-rating score,16 were excellent,13 were good,2 were fair,0 were poor.The statistics results show that there are no statistics significance between the Rasmussen′s anatomical grading,Reswick-Niwayama score and the Hospital for Special Surgery knee-rating score.There are statistic significance between the Rasmussen′s anatomical grading and Reswich-Niwayama score(P＜0.05).Conclusion There are relativity between the Rasmussen′s anatomical grading and Reswick-Niwayama score,but the radiological representation about the reduction of the tibial plateau fracture and the degenerative grading scale can′t represent the knee clinical function well.
