延伸到骨干部的胫/腓骨远端粉碎性骨折的治疗方法比较

目的比较LCP、外固定支架、跟骨骨牵引治疗延伸到骨干部的胫/腓骨远端粉碎性骨折的临床疗效,为延伸到骨干部的胫/腓骨远端粉碎性骨折的治疗提供依据。方法2000-2008年2月采用以上三种方法治疗延伸到骨干部的胫/腓骨远端粉碎性骨折共151例,比较三种治疗方法的术中,术后指标如手术时间、术中出血量、住院时间、骨折不愈合、畸形愈合并经统计学处理。结果LCP组疗效最好,跟骨骨牵引组疗效最差,LCP组与其他两组相比,相差显著(P<0.05)。手术时间、出血量及住院时间三种治疗无明显差异(P>0.05).结论LCP组在延伸到骨干部的胫/腓骨远端粉碎性骨折的治疗疗效明显优于外固定支架和跟骨骨牵引组。用LCP治疗延伸到骨干部的胫/腓骨远端粉碎性骨折的方法值得推广应用。

Objective To compare effects of extended shaft and comminuted distal tibiofiblular fractures treated with metaphysic LCP, external fixator,calcaneus skeletal traction. Methods From 2000 to 2008,151 cases of extended shaft and comminuted distal tibiofiblular fractures were treated with the 3 kinds of treatment. Five factors including surgery time,intraoperation bleeding, In hospital time, non union and deformity rate were studied statisfically to analye the 3 kind of treatment. Results LCP internal fixation is the best among them.The difference between LCP internal fixation group and other 2 groups was significant（P〈 0.05）, There were insignificant difference among 3 groups in surgery time,intraoperation bleeding and in hospital time. Conclusion Treatment of extended shaft and comminuted distal tibiofiblular fractures with LCP internal fixation is better than with external fixator or calcaneus skeletal traction. metaphysic LCP for the treatment of extended shaft and comminuted distal tibiofiblular fractures with MIPPO is one of very effective techniqueins.