锁定钢板治疗胫骨平台骨折的临床疗效分析

Analysis of the Clinical Efficacy of Locking Plate in the Treatment of tibial plateau Fractures

目的：探讨锁定钢板内固定治疗胫骨平台骨折的临床疗效及安全性。方法：回顾性分析本院2010年1月～2013年1月接受锁定钢板内固定治疗的50例胫骨平台骨折手术后患者的临床资料。其中男性36例,女性14例,骨折类型按Schatzker分型分为Ⅱ型20例、Ⅲ型6例、Ⅳ型5例、Ⅴ型7例、Ⅵ型12例,均采用开放复位锁定钢板螺钉内固定治疗。采用Rasmussen膝关节功能分级系统评价其临床疗效。结果：本组50例患者均获得随访,平均随访时间18个月（8～36个月）,Rasmussen膝关节功能分级结果为：优38例,良9例,可2例,差1例,优良率达94%。结论：开放复位锁定钢板内固定治疗胫骨平台骨折具有固定可靠,骨折愈合率高的优点,且并发症少,是一种治疗胫骨平台骨折的有效内固定方法。

Objective：To investigate the clinical efficacy and safety of locking plate in the treatment of tibial plateau fractures.Methods：The clinical data of seventy-two patients with tibial plateau fractures in our hospital from March 2010 to March 2013 were retrospectively analyzed,including 36 males and 14 females.The 50 fractures were classified according to Schatzker classification.There were 20 cases in Schatzker type Ⅱ,6 in Ⅲ,5 in Ⅳ,7 in Ⅴ,12 in Ⅵ.All the patients were received open reduction surgery.The postoperative curative effect was analyzed by Rasmussen grading of knee joint function.Results：All the 50 cases were followed-up,and the average follow-up time was 18months（8-36months）.According to Rasmussen grading,the function of the injured knees showed 38 excellent cases,9 good cases,2 fair case,and 1 poor case.The excellent and good rate was 94 %.Conclusion：Locking plate fixation might have advantages of reliable fixation,high fracture healing,and fewer complications in the management of tibial plateau fractures,which was a valuable clinical alternative in the treatment of tibial plateau fractures.