摘要
目的探讨锁定钢板内固定治疗复杂性胫骨平台骨折的临床疗效。方法将57例复杂性胫骨平台骨折患者采用随机数字表法分为锁定钢板组(29例)和双钢板组(28例),其中锁定钢板组采用锁定钢板内固定治疗,双钢板组采用双切口双钢板内固定治疗,观察和比较两组患者手术治疗情况及效果。结果锁定钢板组患者手术时间、完全负重时间、住院时间、骨折愈合时间均明显短于双钢板组(P<0.05);两组患者术后6个月时的膝关节活动度、后倾角(PA)、内翻前(TPA)、膝关节功能评分优良率比较差异无统计学意义(P>0.05)。结论锁定钢板在治疗复杂性胫骨平台骨折方面可获得与双切口双钢板相近的效果,能提供持续、稳固的内固定,且锁定钢板内固定骨折愈合时间和完全负重时间更短,具有一定的临床应用前景。
Objective To explore the curative effect of locking plate fixation in the treatment of complex tibial plateau fractures. Methods Fifty-seven patients with complex tibial plateau fractures were randomly divided into two groups. The patients in the locking plate fixation group（ n = 29） received locking plate inernal fixation treatment,and the patients in the double plate fixation groups（ n = 28） received double-incision double-plate internal fixation treatment. The effects of the operation were compared between the two groups. Results The operative time,full weight bearing time,hospitalization time and the healing time of fractures in the locking plate fixation group were significant shorter than those in the double plate fixation group（ P〈 0. 05）. There were not signigicant differentces in the knee joint activity,PA,TPA and the excellent rate of knee fracture between the two groups 6 months after the operation（ P〈 0. 05）. Conclusion The locking plate fixation can obtain as similar clinical effect as double incision double plate fixation can in the treatment of complex tibial plateau fractures. It can provide continuous and stable inernal fixation,and the full weight bearing time and the healing time of fractures in the locking plate internal fixation are shorter.
出处
《中国临床新医学》
2016年第4期318-320,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
复杂性胫骨平台骨折
锁定钢板
双切口双钢板
Complex tibial plateau fractures
Locking plate fication
Double-incision double-plate fixation
