摘要
目的：观察微创小切口胫骨近端锁定钢板内固定治疗胫骨平台骨折的临床疗效和安全性。方法回顾性分析40例胫骨平台骨折患者的临床资料，其中采用微创小切口胫骨近端锁定钢板内固定治疗26例（A组），采用解剖钢板内固定治疗14例（B组）。比较两组患者的手术时间、术中出血量、骨折愈合时间、术后6个月的膝关节功能及不良反应发生情况。结果 A组患者的手术时间和术中出血量均少于B组，差异有统计学意义（P＜0.05）；两组患者的骨折愈合时间、膝关节功能及并发症发生率比较，差异均无统计学意义（P＞0.05）。结论微创小切口胫骨近端锁定钢板内固定治疗胫骨平台骨折，创伤小、疗效确切、安全性高，值得临床推广应用。
Objective To observe the clinical curative effects and safety of minimally invasive fixation with proximal tibial locking plate on the treatment of tibial plateau fractures. Methods The clinical records of 40 patients with tibial plateau fractures were analyzed retrospectively. Twenty-six patients （group A）were administrated with minimally invasive fixation with proximal tibial locking plate, while the others（group B） were administrated with anatomic plate fixation. The two groups were compared with each other in such parameters such as operative time, blood loss, fracture healing time, knee function, and complications during postoperative period and follow-up period. Results The operative time and blood loss of group A were shorter than those of group B （P〈0.05）, while there were no statistical differences in the fracture healing time, joint function and the incidence of complications between the 2 groups（P〉0.05）. Conclusion The minimally invasive fixation with proximal tibial locking plate has such advantages as less invasion, better function of knee joint and less complications for the treatment of tibial plateau fractures, and it is worth popularizing in the clinic.
出处
《实用手外科杂志》
2015年第1期57-59,共3页
Journal of Practical Hand Surgery
关键词
胫骨平台骨折
胫骨近端锁定钢板
微创固定
Tibial plateau fractures
Proximal tibia locking plate
Minimally invasive fixed
