自制尖齿钩钢板治疗撕脱性骨折的效果评价

发布时间：2018-01-21 10:05

本文关键词： 韧带撕脱性骨折尖齿钩钢板　出处：《中国现代医学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的通过与传统方法比较,评价自制尖齿钩钢板治疗撕脱性骨折的效果。方法回顾分析47例撕脱性骨折切开复位内固定患者资料,将自制尖齿钩钢板固定17例设为试验组,传统方法内固定30例设为对照组。比较手术时间、术中出血、骨折愈合时间、并发症和患肢功能恢复情况。结果所有患者获12~24个月(平均18.1个月)随访。两组的手术时间、术中出血比较,差异无统计学意义(P0.05);试验组并发症少于对照组,两组并发症和愈合时间比较,差异有统计学意义(P0.05);试验组优良率高于对照组,但差异无统计学意义(P0.05)。结论自制尖齿钩钢板治疗撕脱性骨折具有简便、适应证广泛、固定可靠、效果满意等优点。
[Abstract]:Objective to evaluate the efficacy of self-made cusp hook plate in the treatment of avulsion fracture by comparing with the traditional method. Methods 47 cases of avulsion fracture with open reduction and internal fixation were retrospectively analyzed. 17 cases were fixed with self-made sharp hook plate and 30 cases were treated with traditional internal fixation as control group. The operative time, intraoperative bleeding and fracture healing time were compared. Results all patients were followed up for 12 ~ 24 months (mean 18.1 months). The operative time and intraoperative bleeding were compared between the two groups. The difference was not statistically significant (P 0.05). The complications in the test group were less than those in the control group, and the difference between the two groups was statistically significant (P 0.05). The excellent and good rate of the test group was higher than that of the control group, but the difference was not statistically significant (P0.050.Conclusion the treatment of avulsion fracture with self-made cusp hook plate has the advantages of simple, wide indication, reliable fixation and satisfactory effect.
【作者单位】：江苏省无锡市第九人民医院骨科;
【分类号】：R687.32
【正文快照】： 关节周围韧带或肌肉牵拉导致的撕脱性骨折临床常见,保守方法治疗较难复位骨折,而且容易导致骨折不愈合、关节不稳和关节粘连,效果不甚理想,因此,绝大多数撕脱性骨折需要手术治疗[1-2]。目前采用的内固定方法有多种,各有优缺点[3-4]。本文回顾分析江苏省无锡市第九人民医院骨科

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