摘要
目的探讨应用双侧钢板置入内固定治疗复杂胫骨平台骨折的效果。方法随机选择2018年6月—2019年6月该院收治的80例复杂胫骨平台骨折患者,采用双盲法把患者划分为观察组与对照组,每组40例。对照组采用外侧钢板内固定治疗,观察组运用双侧钢板置入内固定治疗,就两组治疗效果进行比对。结果观察组膝关节功能恢复良好率87.50%,对照组为65.00%,观察组患者膝关节恢复优于对照组,差异有统计学意义(x^(2)=5.591,P=0.018);观察组的膝关节弯曲与伸直范围、膝关节平行伸直范围分别为(120.56±7.34)、(2.77±1.58)°,而对照组相对应的则为(102.13±6.38).(1.18±1.71)°,观察组患者的膝关节弯曲与伸直范围、膝关节平行伸直范围优于对照组,差异有统计学意义(=11.986,4.319,P<0.001);观察组患者的手术耗时、术中出血量、住院长短、骨折愈合时长分别为(51.78±3.98)min,(177.56±3.15)mL,(9.62±2.11)d,(15.37=3.22)周,对照组相对应水平为(71.45±4.33)min,(217.76±3.45)mL,(13.65±2.74)d,(19.85±4.18)周,观察组各项手术指标优于对照组,差异有统计学意义(t=21.153,54.423,7.370,5.370.P<0.001)。结论对复杂胫骨平台骨折,选择双侧钢板置入内固定治疗可以有效改善病情,促进膝关节恢复功能。
Objective To investigate the effect of bilateral plate placement and internal fixation in the treatment of complex tibial plateau fractures.Methods A total of 80 patients with complex tibial plateau fractures admitted to the hospital from June 2018 to June 2019 were randomly selected.The patients were divided into observation group and control group by double-blind method,with 40 cases in each group.The control group was treated with lateral plate internal fixation,and the observation group was treated with bilateral plate placement and internal fixation.The treatment effects of the two groups were compared.Results The recovery rate of knee joint function was 87.50%in the observation group and 65.00%in the control group.The knee joint recovery of the observation group was better than that of the control group,and the difference was statistically significant(x^(2)=5.591,P=0.018);The extension range and the parallel extension range of the knee joint are(120.56±7.34)°and(2.77±1.58)°,respectively,while the corresponding ones in the control group are(102.13±6.38)°and(1.18±1.71)°,the observation group's knee flexion and extension range and knee joint parallel extension range were better than those of the control group,the difference was statistically significant(t=11.986,4.319,P<0.001);the operation time,intraoperative blood loss,length of hospitalization,and fracture healing time of the observation group were(51.78±3.98)min,(177.56±3.15)mL,(9.62±2.11)d,(15.37±3.22)weeks,the corresponding levels of the control group were(71.45±4.33)min,(217.76±3.45)mL,(13.65±2.74)d,(19.85±4.18)weeks,the observation group was better than the control group,and the differences were statistically significant Academic significance(t=21.153,54.423,7.370,5.370,P<0.001).Conclusion For complex tibial plateau fractures,the choice of bilateral plate placement and internal fixation can effectively improve the condition and promote the recovery of knee joint function.
作者
韦杰合
韦仁杰
WEI Jie-he;WEI Ren-jie(Department of Trauma and Hand Surgery,Hechi People's Hospital,Hechi,Guangxi Zhuang Autonomous Region,547000 China)
出处
《中外医疗》
2021年第5期21-23,34,共4页
China & Foreign Medical Treatment
关键词
复杂胫骨平台骨折
双侧钢板置入内固定
临床疗效
Complex tibial plateau fracture
Bilateral plate placement and internal fixation
Clinical effect
