Volume 20 Issue 6
Jun.  2022
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YAN Feng, YU Can-ming, DING Zhi-qing, LIU Li. Multiple-ligament injury of knee joint combined with tibial plateau fracture and correlation analysis between ligament injury and classification of tibial plateau fracture[J]. Chinese Journal of General Practice, 2022, 20(6): 964-966. doi: 10.16766/j.cnki.issn.1674-4152.002499
Citation: YAN Feng, YU Can-ming, DING Zhi-qing, LIU Li. Multiple-ligament injury of knee joint combined with tibial plateau fracture and correlation analysis between ligament injury and classification of tibial plateau fracture[J]. Chinese Journal of General Practice, 2022, 20(6): 964-966. doi: 10.16766/j.cnki.issn.1674-4152.002499

Multiple-ligament injury of knee joint combined with tibial plateau fracture and correlation analysis between ligament injury and classification of tibial plateau fracture

doi: 10.16766/j.cnki.issn.1674-4152.002499
Funds:

 2022ZA183

  • Received Date: 2021-12-14
    Available Online: 2022-09-21
  •   Objective  To analyse the situation of multiple-ligament injury of knee joint combined with tibial plateau fracture and the correlation between multiple-ligament injury of knee joint and the classification of tibial plateau fracture so as to provide reference basis for clinical diagnosis and treatment.  Methods  Sixty-two patients with knee multiple-ligament injury complicated with tibial plateau fracture diagnosed and treated in the department of orthopaedics and traumatology of Taizhou Hospital of Traditional Chinese Medicine from January 2020 to January 2021 were selected as the research objects.The situation of multiple-ligament injury of knee joint was analysed.Schatzker, AO and Duparc classification methods were used to classify tibial plateau fracture.Logistic regression analysis was used to analyse the correlation between multiple-ligament injury of knee joint and the classification of tibial plateau fracture.  Results  The incidence of Anterior cruciate ligament injury (ACL), posterior cruciate ligament injury (PCL), medial collateral ligament injury (MCL), posterolateral angle injury (PLC), ACL+PCL, ACL+MCL, ACL+PLC, PCL+MCL, PCL+PLC and MCL+PLC were 30.65%, 8.06%, 12.90%, 27.42%, 1.61%, 3.23%, 8.06%, 1.61%, 3.23% and 3.23%, respectively.In Schatzker's classification, 12, 12, 4, 23, 7 and 4 cases had Ⅰ, Ⅱ, Ⅲ, Ⅳ, Ⅴ and Ⅵ classification, respectively.In AO classification, 33 and 29 cases had type B and type C, respectively.In Duparc classification, there were 16, 15, 7, 13 and 11 cases of lateral platform fracture, medial platform fracture, double platform fracture, intercondylar ridge fracture and posterior medial fracture, respectively.Logistic analysis showed that Schatzker and AO typing were significantly correlated with ACL, MCL and PLC.Duparc classification had obvious correlation with MCL and PLC.  Conclusion  There is a certain correlation between the multiple-ligament injury of knee joint and the Schatzker, AO and Duparc classification of tibial plateau fracture in patients with multiple-ligament injury of knee joint combined with tibial plateau fracture.

     

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