摘要
目的探讨微创经皮钢板固定技术联合锁定加压钢板治疗胫骨干骺端骨折患者的关节功能改善效果。方法对我院收治的103例胫骨干骺端骨折患者采用随机数字表法进行分组,对照组51例采用钢板内固定术治疗,观察组52例给予微创经皮钢板固定技术联合锁定加压钢板治疗,比较两组患者的手术疗效、术后关节功能改善效果及并发症发生情况。结果观察组术后优良率为96.15%高于对照组的82.35%,差异有统计学意义(P<0.05)。观察组的手术时间、术中出血量、骨折愈合时间均低于对照组,差异亦有统计学意义(P<0.05)。两组术后1、3、6个月的Kofoed评分比较,观察组均高于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较,观察组为1.92%低于对照组的15.69%,差异有统计学意义(P<0.05)。结论微创经皮钢板固定技术联合锁定加压钢板能有效减少胫骨干骺端骨折患者术后并发症,减少术中出血量,促进骨折愈合及踝关节功能的恢复。
Objective To evaluate the effect of minimally invasive percutaneous plate osteosynthesis(LCP)combined with locking compression plate(LCP)in the treatment of tibial metaphyseal fractures. Methods Randomly in our hospital 103 cases of tibial metaphyseal fractures were divided into two groups,the control group of 51 patients with plate internal fixation,52 cases in observation group were given minimally invasive percutaneous plate fixation combined with locking compression plate treatment,curative effect of two groups of patients,surgery postoperative joint function improvement effect and complications the rate of. Results The patients in the observation group the excellent rate was 96.15%higher than that of the control group 82.35%(P<0.05);observation group operation time,intraoperative bleeding volume,fracture healing time were lower than the control group(P<0.05);the patients in the observation group,1 June 3,the Kofoed score was higher than the control group(P<0.05);the observation group complication rate was 1.92%lower than the control group of 15.69%(P<0.05). Conclusion Minimally invasive percutaneous plate osteosynthesis combined with locking compression plate can effectively reduce the postoperative complications of tibial metaphyseal fractures,reduce intraoperative blood loss,promote fracture healing and restore the function of the ankle joint.
作者
冯龙
FENG Long(Two Department of bone,Anyang Second People's Hospital,Anyang,Henan,455000,China)
出处
《蛇志》
2018年第1期29-31,共3页
Journal of Snake
关键词
微创经皮钢板固定
锁定加压钢板
胫骨干骺端骨折
关节功能
minimally invasive percutaneous plate osteosynthesis
locking compression plate
tibial metaphyseal fracture
joint function
