中西医结合治疗复杂胫骨平台骨折疗效观察

Effective observation on treating complex tibial plateau fractures in the integrative medicine

目的:探讨中西医结合治疗复杂胫骨平台骨折的临床效果。方法:将所有病例分为A、B两组。A组仅切开复位内固定组29例;B组切开复位内固定加中医辨证治疗组32例。B组增加了中医分型分期和中药熏洗治疗,观察并发症发生人数和优良率。结果:A组中皮肤坏死、伤口裂开、骨不连,膝骨关节炎发生的病例数高于B组。血肿和感染、神经损伤两组均未发生。A组中优良率低于B组。结论:中西医结合治疗复杂胫骨平台骨折的临床效果,并发症少,效果好,能较好地恢复膝关节的功能。

Objective： To investigate the clinical effect of treating complex tibial plateau fractures in the integrative medicine. Methods： Divide them into A group, B group. In A group taking open reduction and internal fixation was 29 cases; In B group taking open reduction and internal fixation plus TCM in differentiation was 32 cases. To observe the cases and good rate of complication. Results： In A group the cases of skin necrosis, wound dehiscence, nonunion, knee osteoarthritis is higher than the B group. Hematoma and infection, nerve injury in both groups did not occur. A group the good rate is less than B group. Conclusion： Treating complex tibial plateau fractures in the integrative medicine has a good effect.