髌上/髌下入路髓内钉治疗胫骨骨折的效果观察
Effect Observation of Intramedullary Nailing with Suprapatellar/Subpatellar Approach on Tibial Fracture
李卓凯 1周小小 1付备刚 1崔崟 1刘炬 1崔煦 1张琳袁 1王秀会 1赵丽霞2
作者信息
- 1. 上海健康医学院附属周浦医院骨科,上海 浦东 201318
- 2. 上海浦东新区公利医院
- 折叠
摘要
目的:探讨髌上/髌下入路髓内钉治疗胫骨骨折的应用效果.方法:回顾性分析 2019年 8月—2022年 10月于我院行髓内钉治疗的 87例胫骨骨折患者.排除其他影响因素后,共 51例病例纳入本研究.其中髌上入路 28例,髌下入路23例.比较 2组患者术中透视总时间、透视次数及放射暴露剂量.结果:51例患者均顺利完成手术,骨折均获得满意复位,无深部感染及严重并发症发生.与髌下入路比较,髌上入路胫骨髓内钉术中透视总时间、透视次数、放射暴露剂量更少,组间差异有统计学意义(P＜0.05).结论:在同时熟练掌握髌上和髌下髓内钉技术的外科医生中,髌上入路术中C型臂X线机透视时间及放射暴露量明显减少,可降低手术医师及患者的放射暴露.
Abstract
Objective:To investigate the effect of intramedullary nailing with suprapatellar/subpatellar approach on tibial fracture.Methods:A retrospective analysis was performed on 87 patients with tibial fracture who received intramedullary nailment in our hospital from August 2019 to October 2022.After excluding other factors,51 cases were included in this study.There were 28 cases of suprapatellar approach and 23 cases of suprapatellar approach.The total intraoperative fluoroscopy time,fluoroscopy times and radiation exposure dose were compared between the two groups.Results:All the 51 patients successfully completed the operation,all the fractures were satisfactorily reduced,and no deep infection or serious complications occurred.Compared with the suprapatellar approach,the total fluoroscopy time,fluoroscopy times and radiation exposure dose of the suprapatellar approach were less,and the differences between groups were statistically significant(P＜0.05).Conclusion:Among surgeons who were proficient in both suprapatellar and subpatellar napping techniques,the C-arm fluoroscopy time and radiation exposure during suprapatellar approach were significantly reduced,which could reduce the radiation exposure of surgeons and patients.
关键词
胫骨骨折/髓内钉治疗/髌上入路/髌下入路Key words
Tibia fracture/Intramedullary nail therapy/Suprapatellar approach/Subpatellar approach引用本文复制引用
基金项目
上海市浦东新区卫生健康委员会青年科技项目(PW2020B-11)
上海市浦东新区卫生健康委员会青年科技项目(PW2021B-06)
上海市浦东新区卫计委临床特色学科项目(PWYts2021-03)
出版年
2024
国家科技期刊平台
NSTL
万方数据