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双侧钢板置入内固定用于复杂胫骨平台骨折患者治疗中的临床价值研究 被引量:5

Clinical Value of Bilateral Plate Insertion and Internal Fixation in the Treatment of Complex Tibial Platform Fractures
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摘要 目的:探讨复杂胫骨平台骨折患者采用双侧钢板置入内固定治疗的临床价值。方法:选取2015年4月~2017年8月就诊于某院的复杂胫骨平台骨折患者80例,根据随机数表法进行分组,各40例。对照组采用外侧钢板固定治疗,观察组采用双侧钢板置入内固定治疗,对比两组胫骨平台后倾角(PA)、内倾角(TPA)及并发症情况。结果:观察组术后即刻及6个月时PA、TPA均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率(0.00%)较对照组(17.50%)低,差异有统计学意义(P<0.05)。结论:复杂胫骨平台骨折患者采用双侧钢板置入内固定治疗可获得较为稳定内固定效果,且安全性高。 Objective: To investigate the clinical value of bilateral plate internal fixation for complex tibial plateau fractures. Methods: 80 patients with complex tibial plateau fractures who visited a hospital from April 2015 to August 2017 were selected and grouped according to random number table method, 40 cases each. The control group was treated with lateral plate fixation, while the observation group was treated with bilateral plate fixation. The tibial plateau retroversion angle (PA), inclination angle (TPA) and complications were compared between the two groups. Results: Both PA and TPA in the observation group were higher than that in the control group at postoperative and 6 months, and the difference was statistically significant ( P <0.05);The incidence of complications in the observation group (0.00%) was lower than that in the control group (17.50%), the difference was statistically significant ( P <0.05). Conclusion: Bilateral plate internal fixation for complex tibial plateau fractures can achieve stable internal fixation effect and with high safety.
作者 王勇 潘骏 Wang Yong(Department of Orthopedics, No.2 Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000)
出处 《数理医药学杂志》 2019年第6期804-806,共3页 Journal of Mathematical Medicine
关键词 复杂胫骨平台骨折 双侧钢板置入内固定 外侧钢板固定 并发症 complex tibial plateau fracture bilateral plate fixation lateral plate fixation complications
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