锁定钢板内固定治疗复杂胫骨平台骨折疗效分析

The analysis of of locking plate fixation of complex tibial plateau fracture

目的探讨锁定钢板内固定治疗复杂胫骨平台骨折的临床疗效。方法将38例复杂胫骨平台骨折患者随机分为观察组和对照组各19例,骨折类型按Schatzker分型,Ⅳ型15例,Ⅴ型11例,Ⅵ型12例。观察组采用锁定钢板内固定治疗,对照组采用普通钢板加空心钉内固定治疗,观察两组患者手术情况及膝关节恢复情况。结果观察组患者骨折愈合时间、负重时间及住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组12个月时膝关节恢复优良率明显高于对照组,差异有统计学意义(P<0.05)。结论锁定钢板内固定治疗复杂胫骨平台骨折具有愈合快、膝关节恢复好等特点,是一种较佳的内固定方案,值得临床推广应用。

Objective To investigate the efficacy of locking plate fixation of complex tibial plateau fracture.Methods There were 38 cases of complex tibial plateau fractures wererandomly divided into two groups and the control group,Type Ⅳ of the fracture by Schatzker classification was in 15 cases,Ⅴ in 11 cases,Ⅵ in 12 cases.observation group lockingplate fixation in the control group with normal plate and cannulated screw fixation,and surgical cases were observed in patients with knee recovery.Results Thepatients with fracture healing time,load time and hospital stay were significantly shorter than the control group（P〈0.05）;observation group to restore the knee at 12 months was significantly higher quality（P〈0.05）.Conclusion Locked plate fixation of complex tibial plateau fractures with healing,knee recovery and good features,internal fixation is a better program,worthy of clinical application.