摘要
目的 比较解剖钢板与锁定加压钢板治疗复杂开放性胫骨平台骨折的临床效果。方法 选择承德医学院附属医院2010年1月~2014年1月收治的复杂开放性胫骨平台骨折患者108例,按随机数字表法分为观察组和对照组,每组各54例。对照组采用胫骨近端解剖钢板固定治疗,观察组采用胫骨近端锁定加压钢板内固定治疗。观察两组患者内固定手术时间、手术出血量、骨折愈合时间、并发症及膝关节功能优良率。结果两组患者的手术时间、术中出血量差异无统计学意义（P〉0.05）;观察组的骨折愈合时间为（14.2±2.7）周,对照组的骨折愈合时间为（16.9±3.1）周,观察组的完全负重时间为（18.2±3.3）周,对照组的完全负重时间为（21.1±3.6）周,观察组的骨折愈合时间与完全负重时间均少于对照组,差异有高度统计学意义（P〈0.01）。观察组1例患者出现筋膜间室综合征,对照组2例患者出现筋膜间室综合征,1例患者出现膝内翻,1例患者出现切口感染,观察组并发症发生率低于对照组,但差异无统计学意义（P〉0.05）;观察组的优良率为92.59%,对照组的优良率为77.78%,差异有统计学意义（P〈0.05）。结论与解剖钢板相比,锁定加压钢板具有缩短骨折部位愈合时间,使患者完全负重时间提前,降低术后并发症发生率,提高手术优良率等优点,值得临床推广使用。
Objective To observe the effect of locking plate and ordinary anatomical type plate internal fixation for the treatment of complex fracture of tibial plateau. Methods From January 2010 to January 2014, in the Affiliated Hospital of Chengde Medical University, 108 patients with omplex fracture of tibial plateau were selected, according to random number table method, they were divided into observation group and control group, with 54 cases in each group. The observation group was treated with locking compression plate, and the control group were treated with anatomical type plate. The time of operation, intraoperative blood loss, time of fracture healing, incidence of adverse reactions, excellent and good rate of the knee joint of patients in two groups were compared. Results The operation time and intraoperative blood loss of two groups were compared, the differences were not statistically significant （P 〉 0.05）; the fracture healing time of the observation group was （14.2±2.7） weeks, that of the control group was （16.9±3.1） weeks, the full weight-bear- ing time of the observation group was （18.2±3.3） weeks, that of the control group was （21.1±3.6） weeks, the fracture healing time and full load time of the observation group were less than those of the control group, the differences were statistically significant （P 〈 0.05）. The fascia compartment syndrome of the observation group was 1 case, in the control group, fascia compartment syndrome were 2 cases, knee varus was 1 case, infeetion of incision was 1 cases, the complications rate of the observation group was less than that of the control group, but the difference was not statistically significant （P 〉 0.05）; the excellent and good rate of observation group was 92.59%, the control group was 77.78%, the difference was statistically significant （P 〈 0.05）. Conclusion Compared with the ordinary anatomical type plate internal fixation, locking plate has the advantages of shorter fracture healing time, making the patient completely load ahead of time, reducing the incidence of postoperative complications and improving the rate of the excellent and good, it is worth of clinical using.
出处
《中国医药导报》
CAS
2015年第27期82-85,共4页
China Medical Herald
基金
河北省承德市科学技术研究与发展计划项目(20132060)
关键词
解剖钢板
锁定加压钢板
复杂开放性胫骨平台骨折
Ordinary anatomical type plate
Locking plate
Complex fracture of tibial plateau
