摘要
目的分析对比有限内固定联合外固定支架与钢板治疗胫骨平台骨折的疗效。方法方便选择2014年5月—2016年5月该院收治的胫骨平台骨折患者104例,以随机数字表将其均分为研究组与对照组,每组52例。对照组给予双侧钢板内固定治疗,研究组给予有限内固定+外固定支架联合治疗。参照美国特种外科医院膝关节评分(HSS)对比两组治疗的优良率,并观察两组术后并发症情况。结果研究组治疗的优良率94.23%显著高于对照组82.69%(P<0.05)。研究组术后并发症发生率3.85%低于对照组17.31%(P<0.05)。结论相较于钢板,有限内固定联合外固定支架治疗胫骨平台骨折疗效更为满意,有效保证了关节功能的恢复效果,降低术后并发症概率,适于临床应用。
Objective To compare and analyze the curative effect of limited internal fixation and external fixation and external fixator and plate in treatment of fracture of tibial plateau.Methods 104 cases of patients with fracture of tibial plateau admitted and treated in our hospital from May 2014 to May 2016 were conveniently selected and randomly divided into two groups with 52 cases in each,the control group adopted the Bilateral plate internal fixation treatment,while the research group adopted the limited internal fixation and external fixation and external fixator and plate,and the excellent and good rate of treatment was compared by the American HSS,and the postoperative complications of the two groups was observed.Results The excellent and good rate in the research group was obviously higher than that in the control group,（94.23% vs 82.69%）（P〈0.05）,and the incidence rate of postoperative complications in the research group was lower than that in the control group,（3.85% vs 17.31%）（P〈0.05）.Conclusion The curative effect of limited internal fixation and external fixation and external fixator and plate in treatment of fracture of tibial plateau is more satisfactory than the steel plate,which can effectively ensure the recovery effect of joint function and reduce the probability of postoperative complications,which is suitable for the clinical application.
出处
《中外医疗》
2017年第7期33-35,共3页
China & Foreign Medical Treatment
关键词
胫骨平台骨折
有限内固定
外固定支架
钢板
Fracture of tibial plateau
Limited internal fixation
External fixation
Plate
