解剖钢板与锁定钢板内固定治疗复杂胫骨平台骨折的疗效比较

发布时间：2018-03-17 12:14

本文选题：胫骨平台骨折　切入点：解剖钢板　出处：《中国矫形外科杂志》2017年20期 　论文类型：期刊论文

【摘要】：[目的]比较解剖钢板与锁定钢板内固定治疗复杂胫骨平台骨折的临床效果。[方法]将2010年1月~2013年12月在本科治疗的78例复杂胫骨平台骨折患者随机数字表法分为2组。解剖钢板组(39例)给予解剖钢板内固定治疗,锁定钢板组(39例)给予锁定钢板内固定治疗。统计两组围术期指标(手术时间、术中出血量、住院时间、骨折愈合时间、完全负重时间)、胫骨平台畸形[内反角(TPA)、后倾角(PA)]、HSS评分及恢复情况。[结果]两组手术时间、术中出血量、住院时间、骨折愈合时间、完全负重时间比较,差异无统计学意义(P0.05)。患者随访1~2年,两组术后即刻、术后2个月、术后6个月时TPA、PA比较,差异无统计学意义(P0.05)。两组术后1年时HSS评分比较,差异无统计学意义(P0.05)。两组关节功能恢复比较,差异无统计学意义(P0.05)。[结论]解剖钢板与锁定钢板内固定治疗复杂胫骨平台骨折的临床效果相当,临床应依据患者具体情况合理选择术式。
[Abstract]:[Objective] compared with anatomical plate and the January 2010 ~2013 year in December in our treatment of 78 cases of complex tibial plateau fractures were randomly divided into 2 groups. Methods the clinical effect of] locking plate fixation of complex tibial plateau fracture. The anatomical plate group (39 cases) with anatomic steel plate internal fixation, locking plate group (39 cases) with locking plate fixation in the treatment of two groups. Statistical perioperative indicators (operation time, amount of bleeding, hospitalization time, fracture healing time, full weight-bearing time), tibial plateau malformation (TPA), within the dihedral angle (PA), HSS score and recovery results.] operation time of the two groups, the amount of bleeding during operation, hospitalization time, fracture healing time, full weight bearing time comparison, the difference was not statistically significant (P0.05). The patients were followed up for 1~2 years, two groups immediately after surgery, 2 months after surgery, 6 months after operation TPA, PA comparison, the difference was not statistically significant (P0. 05). Two groups were compared after 1 years when the HSS score, the difference was not statistically significant (P0.05). The two group comparison of the recovery of joint function, the difference was not statistically significant (P0.05). Conclusion: the anatomical plate and locking plate fixation of complex tibial plateau fracture clinical effect, clinical reasonable choice of surgical procedures should be based on specific the situation of patients.

【作者单位】：湖北省武汉市第三医院骨二科;
【分类号】：R687.3

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