双钢板治疗复杂胫骨平台骨折的临床疗效观察(附62例对比报告)

The Clinical Study on Double-plate Method for Complex Tibia Plateau Fracture

[目的]探讨双钢板治疗复杂胫骨平台骨折的临床疗效。[方法]选取的62例复杂胫骨平台骨折的患者为我院2010年10月至2012年12月收治病例,将其随机法分为实验组和对照组两组,各31例。实验组接受双切口双钢板内固定,对照组接受锁定板内固定,对比分析两组患者的临床疗效。[结果]实验组的优良率明显优于对照组(87.10%vs 64.52%,χ2=4.309,P=0.038),两组并发症发生率的差异比较无统计学意义(3.23%vs 6.45%,χ2=0.350,P=0.554)。[结论]双钢板治疗复杂胫骨平台骨折的临床疗效良好,且并发症发生率低,值得推广。

[Objective] To investigate and analyze the clinical effect of double-plate method on complex tibia plateau fracture.[Methods] A total of 62 pa tients that had complex tibia plateau fracture from October 2010 to December 2012 in our hospital,were divided into the experimental group and the control group randomly,31 patients per group.Patients of the experimental group received double steel plate internal fixation with double incision,and patients of the control group received locking plate internal fixation,and the clinical efficacy of two groups were compared.[Results] The excellent rate of the experimental group was better than that of the control group（87.1% vs 64.5% χ2=4.309 P =0.038）,and the difference of complications rate of two groups had no statistical significance（3.2% vs 6.5% χ2=0.350 P=0.554）.[Conclusion] The clinical effect of double-plate method for complex tibia plateau fracture is good,and the complications rate is low,worthy of clinical promotion.