复杂胫骨平台骨折骨锁定钢板内固定的疗效分析

Clinical efficacy of bone locking plate fixation for complex tibial plateau fractures

目的 分析复杂胫骨平台骨折骨锁定钢板内固定的疗效.方法 选择我院2011年5月～2012年10月66例复杂胫骨平台骨折患者,随机分为两组,A组33例患者采用骨锁定钢板内固定,B组33例患者采用常规钢板固定,所有患者均随访3～12个月,对住院时间、骨折愈合时间及完全负重时间等相关指标进行比较,并对膝关节功能恢复情况进行评价,同时观察术后并发症.结果 A组33例患者平均住院时间、平均骨折愈合时间及平均完全负重时间均短于B组,两组比较差异具有统计学意义（P＜0.05）.A组膝关节功能恢复优14例,良11例,优良率为75.76％,B组优8例,良12例,优良率60.61％,A组疗效明显好于B组,差异具有统计学意义（P＜0.05）.A组并发症发生率为6.06％,B组为12.12％,两组均无钢板松动、断钉及骨折不愈合病例,两组并发症比较差异无统计学意义（P＞0.05）.结论 骨锁定钢板具有内固定可靠,骨折愈合快,患者功能恢复好的优点,是复杂胫骨平台骨折的理想方法.

Objective To investigate clinical effect of of bone locking plate fixation in treatment for complex tibial plateau fractures. Methods A total of 66 patients with complex tibial plateau fraetures in our hospital from May 2011 to October 2012 were divided into the group A with 33 caees, treated by bone locking plate fixation and group B with 33 caces, treated by conventional plate fixation. All patients were followed up for 3-12 months,the hospitalization, fracture healing time , the recovery of knee function, postoperative complications were analyzed. Results The average length of stay, the average healing time and mean time to full weight bearing of group A were shorter than that of group B （P〈0.05）. A group of knee function recovery were excellent in 14 cases, good in 11 cases , good rate of 75.76%, group B were excellent in 8 cases, good in 12 cases, good rate of 60.61%.The good rate of group A was significantly better than that of group B （P〈0.05）.The complication rate of group A was 6.06% and group B with 12.12%, were no plates loose , broken nails and nonunion cases , complications difference between the two groups was not significant （P〉0.05）. Conclusion Locking plate fixation with reliable , fracture healing, functional recovery in patients with good benefits, is an ideal method of complex tibial plateau fractures.