摘要
目的对比胫骨近端解剖钢板内固定与锁定钢板内固定在复杂胫骨平台骨折患者治疗中的临床效果。方法选取本院关节外科2011年6月—2014年3月收治的86例复杂型胫骨平台骨折患者,随机分为观察组(n=43)与对照组(n=43),观察组给予锁定钢板内固定术治疗,对照组给予普通解剖钢板内固定术治疗,对比2组患者临床效果。结果 2组患者术中出血量、住院时间、骨折愈合时间以及完全负重时间比较差异均无统计学意义(P>0.05);术后随访1年,2组患者TPA、PA比较差异无统计学意义(P>0.05);2组患者膝关节HSS功能评分比较差异无统计学意义(P>0.05),膝关节功能恢复优良率比较差异无统计学意义(P>0.05);2组患者各种并发症发生率比较差异无统计学意义(P>0.05)。结论普通解剖钢板内固定术与锁定钢板内固定术治疗复杂型胫骨平台骨折效果相当,临床可根据患者具体情况综合选择。
Objective To compare the therapeutic effects of internal fixation of proximal tibial anatomic plate and internal fixation of locking plate in the treatment of patients with complex tibial plateau fracture. Methods 86 patients with complex tibial plateau fracture were randomly divided into the observation group （ n = 43） and the control group （ n = 43）. The observation group was treated with internal fixation of proximal tibial anatomic plate, while the control group was treated with internal fixation of locking plate. Therapeutic effect was compared between the two groups. Results There were no significant differences in the intraoperative blood loss, length of hospital stay, fracture healing time and postoperative completely weight- bearing time between the two groups（P 〉0.05）. There were no significant differences of TPA, PA, HSS, good rate of knee joint function and postoperative complications between two groups （P 〈0.05）. Conclusion Internal fixation of proximal tibial anatomic plate and internal fixation of locking plate have the same therapeutic effect in the treatment of patients with complex tibial plateau fracture, and the choice of the surgical procedures should be considered according to the specific condition of patients.
出处
《实用临床医药杂志》
CAS
2014年第21期81-84,共4页
Journal of Clinical Medicine in Practice
关键词
解剖钢板
锁定钢板
复杂胫骨平台骨折
anatomical plate
locking plate
complex tibial plateau fracture
