骨折复位内固定术同时行韧带一期治疗胫骨平台骨折合并膝关节韧带损伤患者的临床疗效

doi:10.3969/j.issn.1671-7171.2025.11.031

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摘要 【目的】探讨骨折复位内固定术同时行韧带一期治疗胫骨平台骨折合并膝关节韧带损伤患者的临床疗效。【方法】回顾性分析2019年1月至2024年4月厦门市第三医院收治的41例胫骨平台骨折合并膝关节韧带损伤患者,所有患者均行骨折复位内固定术同时行韧带一期治疗。记录患者手术情况,采用Lysholm膝关节评分系统和Tegner膝关节评分系统评估患者术前、术后膝关节功能。【结果】41例胫骨平台骨折合并韧带损伤患者均获得随访,随访时间为20.70(12～29)个月。患者术后1年Lysholm膝关节评分系统评分为(86.20±0.50)分,显著高于术前的(28.34±7.12)分,差异有统计学意义(P<0.05);患者术后1年Tegner膝关节评分系统评分为(7.43±0.20)分,显著高于术前的(3.60±0.90)分,差异具有统计学意义(P<0.05)。90.8%患者获得重返同级或低一级活动水平。【结论】骨折复位内固定术同时行韧带一期治疗胫骨平台骨折合并膝关节韧带损伤患者,可显著改善膝关节功能,获得满意疗效。

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关键词 ：骨折固定术,内, 胫骨骨折, 膝关节, 韧带

Abstract：【Objective】To explore the clinical efficacy of fracture reduction and internal fixation combined with primary ligament treatment in patients with tibial plateau fractures complicated by knee ligament injuries. 【Methods】A retrospective analysis was conducted on 41 patients with tibial plateau fractures complicated by knee ligament injuries admitted to Xiamen Third Hospital from January 2019 to April 2024. All patients underwent fracture reduction and internal fixation combined with primary ligament treatment. The surgical conditions of the patients were recorded, and the Lysholm Knee Scoring System and Tegner Knee Scoring System were used to evaluate the knee joint function of the patients before and after surgery. 【Results】All 41 patients with tibial plateau fractures and ligament injuries were followed up, with a follow-up period of 20.70 (12-29) months. The Lysholm knee score of the patients at 1 year after surgery was (86.20±0.50) points, which was significantly higher than the preoperative score of (28.34±7.12) points, and the difference was statistically significant (P<0.05); the Tegner knee score at 1 year after surgery was (7.43±0.20) points, which was significantly higher than the preoperative score of (3.60±0.90) points, and the difference was statistically significant (P<0.05). A total of 90.8% of the patients returned to the same or lower level of activity. 【Conclusion】Fracture reduction and internal fixation combined with primary ligament treatment for patients with tibial plateau fractures complicated by knee ligament injuries can significantly improve knee joint function and achieve satisfactory efficacy.

Key words： Fracture Fixation, Internal Tibial Fractures Knee Joint Ligaments

收稿日期: 2025-05-29

中图分类号:

R683.42

通讯作者: *E-mail:cqz3006@qq.com

引用本文:

陈青植, 谢皇林, 陈阔, 刘忠国, 谢亮文. 骨折复位内固定术同时行韧带一期治疗胫骨平台骨折合并膝关节韧带损伤患者的临床疗效[J]. 医学临床研究, 2025, 42(11): 1951-1954.
CHEN Qingzhi, XIE Huanglin, CHEN Kuo, et al. Clinical Efficacy of Fracture Reduction and Internal Fixation Combined with Primary Ligament Treatment in Patients with Tibial Plateau Fractures Complicated by Knee Ligament Injuries. JOURNAL OF CLINICAL RESEARCH, 2025, 42(11): 1951-1954.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.11.031 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I11/1951

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