摘要
目的:探讨改良双钢板法治疗SchazkerⅣ、Ⅴ、Ⅵ型复杂胫骨平台骨折的临床效果。方法:本院骨科2012年4月至2013年12月对收治的42例复杂胫骨平台骨折患者采用改良双钢板法治疗(改良组),术后随访1年,并与本院骨科2009年至2011年收治的33例复杂胫骨平台骨折患者(普通组,采用普通的双钢板法治疗)的手术、随访结果进行比较。结果:改良组患者的手术时间176.3±23.4 min、术中出血量225.4±81.3 m L,高于普通组患者(P<0.05)。改良组患者的术后负重时间19.8±5.8月,骨折愈合时间3.6±0.8月,均显著的短于普通组患者(P<0.05)。改良组和普通组术后3 d、3个月、末次随访时分别测量TPA、PA角,两组患者间比较差异均不具有统计学意义(P>0.05)。术后第3、6个月及末次随访,改良组患者的屈曲、伸直均优于普通组患者,但仅屈曲功能差异具有统计学意义(P<0.05)。改良组患者的膝关节功能为优良率95.24%,高于普通组的75.76%(P<0.05)。结论:改良双钢板法治疗SchazkerⅣ、Ⅴ、Ⅵ型复杂胫骨平台骨折患者较普通单钢板法虽然手术时间延长、术中出血量增多,但其复位效果更好,术后患者的骨折愈合时间、负重时间均缩短,同时患者可以早进行功能锻炼,有利于促进患者膝关节功能的恢复。
Objective：To explore the clinical effect of modii ed dual plating in the treatment of Schazker IV,V,VI type of complex tibial plateau fractures.Methods：From April 2012 to December 2013,a total of 42 cases with complex tibial plateau fractures were treated using a modii ed dual plating method in our hospital,they（modii ed group） were followed up for 1 year,and were compared with 33 cases of complex tibial plateau fractures patients who admit ed to our hospital from 2009 to 2011（ordinary group,used conventional double plates therapy surgery）.Results：Improved operation time of modii ed group was 176.3±23.4 min,blood loss was 225.4±81.3 m L,which were higher than ordinary group（P〈0.05）.Improved load time of modii ed group was 19.8±5.8 months,fractureshealing time was 3.6±0.8 months,which were signii cantly shorter than the ordinary group（P〈0.05）.TPA and PA angle of two groups were compared in 3 d,3 months after surgery and at the end of the follow-up,the difference of two groups was not statistically significant（P〈0.05）.Patients＇ improved flexion,extension in modified group are better than ordinary groups in 3 and 6 months after surgery and last follow-up,the difference was statistically signii cant（P〈0.05）.Excellent knee function improved rate of patients in modii ed group was 95.24%,wihch was higher than that of ordinary group（75.76%）（P〈0.05）.Conclusion：Although,compared with single plate i xation of tibial plateau fractures,the prolonged operation time and intraoperative bleeding volume increased in dual plating for Schazker IV,V,VI type complex patients.h e reduction effect was bet er and fracture healing time,weight-bearing time were shortened.Patients can do functional exercise earlier,which is conducive to promoting recovery knee joint function of patients.
出处
《临床与病理杂志》
2016年第3期279-284,共6页
Journal of Clinical and Pathological Research
