胫骨平台骨折手术疗效影响因素的探讨

目的探讨胫骨平台骨折手术疗效的影响因素,为临床提供参考。方法采用前瞻性研究的方法对本院2008年4月～2010年4月收治的42例胫骨平台骨折患者的手术后的疗效进行分析;并对影响胫骨平台骨折手术疗效的因素进行多因素非条件Logistic回归分析。结果对影响胫骨平台骨折手术疗效的可疑高危因素先进行单因素分析,膝关节周围合并伤、术后并发症、术后康复、骨折类型及手术复位情况等5个方面,差异有统计学意义（P〈0.05）。将单因素分析有显著统计学意义的变量进行多因素非条件Logistic回归分析,结果显示术后康复、术后并发症、骨折类型及手术复位情况差异具有统计学意义（P〈0.05）,是影响胫骨平台骨折手术疗效的独立危险因素。结论解剖复位、牢靠的内固定是取得满意手术疗效的基础;术后康复、术后并发症、骨折类型及手术复位情况等因素是影响胫骨平台骨折手术疗效的主要因素。

The study on operative efficacy effect factors of fracture of tibial plateau

Objective To explore the influencing factors of the operative efficacy of fracture of tibial plateau,and it provided reference for clinical.Methods The prospective study method was used,42 patients with fracture of tibial plateau were ana lyzed in our hospital from April 2008 to April 2010,and the influence factors on the operative efficacy of fracture of tibial plateau had aunconditional Logistic regression was analyzed.Results Suspected risk factors had single factor was analyzed,among them around the knee joint united injury and complications of injury,postoperative rehabilitation,fracture types and surgical reset condition,the difference was statistically significant (P < 0.05).Single factor analysis had statistically significant meaning of variables,which had unconditional Logistic regression analysis,and the results showed that the postopera tive rehabilitation,the postoperative complications,fracture types and surgical restoration,the difference was statistically sig nificant (P < 0.05),it was independent risk factors for surgical curative effect.Conclusion Anatomical reattachment,reliable internal fixation with satisfactory curative effect is the foundation of operation;Postoperative rehabilitation,the postoperative complications,fracture types and surgical reduction factors such as the situation is the main factors of curative effect.