CAJ | 학술논문

目的：探讨T入路术式对胫骨近端骨折的治疗效果。方法：选取87例胫骨近端骨折患者,随机分为两组,观察组采用膝前髌骨下T形切口术式,对照组采用传统术式。观察两组患者术中情况及膝关节功能恢复、骨折愈合情况。结果：观察组平均手术时间长于对照组,差异有统计学意义(t=4.2,P<0.05)。根据Rasmussen膝关节功能评分,观察组优良率(95.6%)明显高于对照组(78.6%),差异有统计学意义(x2=5.7,P<0.05)。观察组临床愈合时间及骨性愈合时间明显短于对照组,差异有统计学意义(t=11.1、18.4,P<0.05)。结论：对胫骨近端骨折患者,膝前髌骨下T形切口术式可明显缩短骨折临床及骨性愈合时间,有利于膝关节功能的恢复,但手术时间延长。
목적：탐토T입로술식대경골근단골절적치료효과。방법：선취87례경골근단골절환자,수궤분위량조,관찰조채용슬전빈골하T형절구술식,대조조채용전통술식。관찰량조환자술중정황급슬관절공능회복、골절유합정황。결과：관찰조평균수술시간장우대조조,차이유통계학의의(t=4.2,P<0.05)。근거Rasmussen슬관절공능평분,관찰조우량솔(95.6%)명현고우대조조(78.6%),차이유통계학의의(x2=5.7,P<0.05)。관찰조림상유합시간급골성유합시간명현단우대조조,차이유통계학의의(t=11.1、18.4,P<0.05)。결론：대경골근단골절환자,슬전빈골하T형절구술식가명현축단골절림상급골성유합시간,유리우슬관절공능적회복,단수술시간연장。
Objective:To explore the effect of T approach operation to function of knee joint in patients with proximal tibial fracture.Methods:Selected 87 cases of patients with proximal tibial fracture,divided them into two groups randomly, while experimental group received T approach operation of anterior knee patella and control group received traditional operation. Compared the operation satuation,function recovery of knee joint and fracture healing.Results:Average operation time of experimental group was longer than that of control group, and a significant difference was observed(t=4.2,P<0.05).According to Rasmussen score of knee joint function, The excellent rate of experimental group(95.6%)was higher than that of control group(78.6%),and there was a significant difference between them(χ2=5.7,P<0.05).Clinical and bone healing time of experimental groups was shorter than that of control group, and a significant difference was observed (t=11.1、18.4,P<0.05).Conclusion:For patients with proximal tibial fracture,T approach operation of anterior knee patella can significantly shorten clinical and bone healing time,promote recovery of knee joint.