Acutrak螺钉和空心螺钉治疗Lisfranc关节损伤的疗效比较

发布时间：2018-03-11 07:23

本文选题：Lisfranc关节损伤　切入点：Acutrak螺钉　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:对比研究Acutrak螺钉与空心螺钉在治疗Lisfranc关节损伤方面的临床疗效,旨在为骨科医师在Lisfranc关节损伤的临床施治过程中提供专业的诊治意见和经验交流。方法:采用多中心回顾性研究的方式,收集2010年9月至2016年8月期间在新疆乌鲁木齐市地区某三所医院采用Acutrak螺钉或空心螺钉手术治疗的Lisfranc关节损伤患者28例,根据其手术治疗所采用耗材种类的不同分为使用Acutrak螺钉的观察组(n=10)和使用空心螺钉的对照组(n=18)。记录根据视觉模拟评分系统(VAS)和美国足踝外科评分系统(AOFAS)末次随访所获评分用以对术后治疗效果进行评价,同时参与的评价指标还包括手术时间、并发症、下地完全负重时间、骨折愈合时间和螺钉平均价格,最后利用spss软件对两组情况进行对比分析。结果:本研究所涉及28例患者均获得随访,平均随访时间为14.8±21.1个月。观察组与对照组在手术时间、骨折愈合时间、术后VAS评分及术后并发症的发病率方面的比较,均无统计学意义(P0.05);观察组在下地完全负重时间早于对照组,差异具有统计学意义(P0.05);根据AOFAS评分进行评价,观察组的优良率虽高于对照组,但组间比较无统计学意义;观察组与对照组间螺钉平均价格的比较,差异具有统计学意义(P0.05)。结论:Acutrak螺钉与空心螺钉在治疗Lisfranc关节损伤方面疗效相当,均为十分有效治疗Lisfranc关节损伤的耗材种类,但考虑到治疗成本的因素,故谨慎认为在两者螺钉间做比较选择时,不建议优先使用Acutrak螺钉治疗Lisfranc关节损伤。
[Abstract]:Objective: to compare the clinical effect of Acutrak screw and hollow screw in the treatment of Lisfranc joint injury. The purpose of this study was to provide orthopedic physicians with professional advice and exchange of experience in the clinical treatment of Lisfranc joint injury. From September 2010 to August 2016, 28 patients with Lisfranc joint injuries treated with Acutrak screws or hollow screws in three hospitals in Urumqi, Xinjiang, were collected. According to the type of consumables used in the surgical treatment, they were divided into two groups: the observation group using Acutrak screws (n = 10) and the control group with hollow screws (n = 18). The last follow-up was recorded according to the visual analogue scoring system (VAS) and the United States foot and ankle surgery scoring system (AFS). The score was used to evaluate the effect of the treatment. They also included surgery time, complications, total weight loading time, fracture healing time and average screw price. Results: 28 patients involved in this study were followed up for an average of 14.8 卤21.1 months. The operative time and fracture healing time of the observation group and the control group were compared. There was no significant difference in the postoperative VAS score and the incidence of postoperative complications (P 0.05), the time of full weight loading in the observation group was earlier than that in the control group, the difference was statistically significant (P 0.05), and the evaluation was made according to the AOFAS score. Although the excellent and good rate of the observation group was higher than that of the control group, there was no statistical significance between the observation group and the control group. The difference was statistically significant (P 0.05). Conclusion: the ratio of Acutrak screw to hollow screw is equivalent in the treatment of Lisfranc joint injury, both of them are very effective in the treatment of Lisfranc joint injury, but considering the cost of treatment, Therefore, it is prudent to suggest that Acutrak screw should not be used in the treatment of Lisfranc joint injury.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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