河北医学2023，Vol.29Issue(12)：2033-2038,6.DOI:10.3969/j.issn.1006-6233.2023.12.018
伴冠状面膝关节脱位的Schatzker Ⅳ型胫骨平台骨折患者主要韧带损伤特点临床研究
Clinical Study on Main Ligament Injury Characteristics of Schatzker Type Ⅳ Tibial Plateau Fracture with Coronal Knee Dislocation
摘要
Abstract
Objective:To explore the main ligamentous injury characteristics in patients with Schatzker Type IV tibial plateau fracture accompanied by coronary knee dislocation.Methods:A total of 32 patients with Schatzker Type Ⅳ tibial plateau fracture accompanied by coronary knee dislocation,treated in our hospi-tal from January 2019 to December 2022,were included in the study group.Additionally,58 patients with i-solated Schatzker Type Ⅳ tibial plateau fracture were selected as the control group.The two groups were ana-lyzed and compared for cross ligament measurements,laxity coefficients,degree of knee cartilage injury,liga-ment function indicators,clinical indicators,knee HSS scores,and VAS scores.Results:There was no statis-tically significant difference in La,Da,and Dp between the two groups(P>0.05).However,the study group showed higher values for Lp,TCa,and TCp compared to the control group(P<0.05).Analysis of knee carti-lage injury revealed no statistically significant difference between the two groups(P>0.05).Before treatment,there was no significant difference in the peak torque ratio of flexors/extensors and limb symmetry index be-tween the two groups(P>0.05).After treatment,both groups showed improved ligament function,with the study group exhibiting a greater increase in peak torque ratio and limb symmetry index compared to the control group(P<0.05).Clinical indicators,including operation time,intraoperative blood loss,postoperative hos-pitalization time,fracture healing time,and postoperative complication rate,showed no significant difference between the two groups(P>0.05).There was no statistically significant difference in HSS scores before and 6 months after treatment between the two groups(P>0.05).However,compared to the control group,the study group had lower HSS scores at 7 days,1 month,and 3 months postoperatively(P<0.05).Similarly,there was no significant difference in VAS scores before and 6 months after treatment between the two groups(P>0.05).Compared to the control group,the study group had higher VAS scores at 7 days,1 month,and 3 months postoperatively(P<0.05).Conclusion:Compared to patients with isolated Schatzker Type Ⅳ tibial plateau fractures,those with Schatzker Type Ⅳ tibial plateau fractures accompanied by coronary knee disloca-tion exhibited higher postoperative Lp,TCa,and TCp values,worse ligament recovery,poorer knee joint function,and greater short-term pain.These patients require additional attention.关键词
冠状面膝关节脱位/Schatzker Ⅳ型胫骨平台骨折/韧带损伤/韧带恢复/软骨损伤Key words
Coronal knee joint dislocation/Schatzker Ⅳ type tibial plateau fracture/Ligament injury/Ligament recovery/Cartilage injury引用本文复制引用
郑权,孙良业..伴冠状面膝关节脱位的Schatzker Ⅳ型胫骨平台骨折患者主要韧带损伤特点临床研究[J].河北医学,2023,29(12):2033-2038,6.基金项目
国家自然科学基金,(编号:82102629) （编号:82102629）
