胫骨骨折内外侧钢板固定术后康复分析

Comparative Analysis of the Postoperative Recovery of the Tibial Shaft Fracture Fixed with Medial and Lateral Steel Plate

目的比较分析胫骨骨折内、外侧钢板固定术后的康复过程。方法选择胫骨骨折行内、外侧钢板固定两组病人,内侧钢板固定61例,外侧钢板固定47例。统计骨折后临床愈合时间及术后皮肤坏死的发生率,两组对比。结果内侧钢板固定组临床愈合时间(6.1±0.8)w,外侧钢板固定组临床愈合时间(8.9±1.4)w,两组差异显著。皮肤坏死发生率内侧组6.5%(4/61),外侧组6.8%(3/47),两组差异无显著性。结论胫骨骨折内侧钢板固定,优于外侧钢板固定,不仅手术操作简便,对伤口周围软组织损伤轻微,而且骨折术后愈合时间更短,皮肤坏死发生率亦相似。

Objective To analyse the postoperative recovery comparatively of the tibial shaft fracture fixed with medial and lateral steel plate. Methods 61 cases of tibial shaft fracture were fixed with steel plate in medial, and 47 cases were fixed with steel plate in lateral. Then comparing the healing time and the incidence of skin necrosis. Results The clinical healing time of the patients fixed with steel plate in medial were（6.1±0.8） weeks, and the others were（8.9±1.4） weeks, the difference was remarkable. The incidences of skin necrosis were 6.5%（medial group） and 6.8%（lateral group） respectively, the difference was not remarkable. Conclusion To fix the tibial shaft fracture with steel plate in medial is better than that in the lateral. The operation is convenient, the injury to the soft tissue is light and the healing time is short. The incidence of skin necrosis of two methods has no difference.