解剖钢板与经皮微创锁定钢板治疗老年胫骨骨折的临床疗效比较

发布时间：2018-06-17 07:25

本文选题：解剖钢板 + 经皮微创锁定钢板　；参考：《科学咨询(科技·管理)》2017年12期

【摘要】：目的:比较解剖钢板和经皮微创锁定钢板治疗老年胫骨骨折的临床疗效。方法:选择2016年8月~2017年9月期间在我院接受治疗的老年胫骨骨折患者54例作为研究对象,随机划入观察组和对照组,其中观察组27例,对照组27例,分别接受经皮微创锁定钢板和解剖钢板治疗,比较两组患者的平均手术时间、术中出血量、骨折愈合时间以及Kofoed踝关节功能评分。结果:观察组患者平均手术时间(58.4±2.6)min,术中出血量(38.7±5.4)ml,骨折愈合时间(10.6±1.5)周,Kofoed踝关节功能评分(94.6±1.4)分;对照组患者平均手术时间(83.6±2.2)min,术中出血量(83.6±4.8)ml,骨折愈合时间(17.6±1.3)周,Kofoed踝关节功能评分(82.5±1.7)分;组间差异有统计学意义,P0.05。结论:经皮微创锁定钢板治疗老年胫骨骨折临床效果优于传统解剖钢板,值得临床应用和推广。
[Abstract]:Objective: to compare the clinical effects of anatomical plate and percutaneous minimally invasive locking plate in the treatment of tibial fractures in the elderly. Methods: Fifty-four elderly patients with tibial fractures who were treated in our hospital from August 2016 to September 2017 were randomly divided into observation group (n = 27) and control group (n = 27). The mean operative time, intraoperative blood loss, fracture healing time and Kofoed ankle function score were compared between the two groups by percutaneous minimally invasive locking plate and anatomical plate. Results: the mean operative time was 58.4 卤2.6 min, the intraoperative bleeding volume was 38.7 卤5.4 ml, the fracture healing time was 10.6 卤1.5 weeks and the Kofoed ankle function score was 94.6 卤1.4), while in the control group, the mean operation time was 83.6 卤2.2 min, the intraoperative bleeding volume was 83.6 卤4.8 ml, the fracture healing time was 17.6 卤1.3 weeks and the Kofoed ankle function score was 82.5 卤1.7). The difference between groups was statistically significant (P 0.05). Conclusion: the clinical effect of percutaneous minimally invasive locking plate is superior to that of traditional anatomical plate in the treatment of senile tibial fractures.
【作者单位】：重庆市巴南区人民医院骨科;
【分类号】：R687.3

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