微创钢板接骨术治疗62例胫骨平台骨折的效果分析

Clinical observation of minimal invasive plate osteosynthesis in treatment for 62 cases of tibial plateau fractures

目的探讨分析微创钢板接骨术治疗胫骨平台骨折的临床疗效。方法回顾性分析2008年8月至2012年10月间在我院进行治疗的124例胫骨平台骨折患者的临床资料,治疗组62例,进行微创钢板接骨术治疗;对照组62例,行切开复位钢板内固定术;比较两组治疗效果。结果治疗组的优良率为91.94%,明显高于对照组的79.03%(P<0.05);治疗组的住院时间、骨折愈合时间、Rasmussen功能评分和不良反应发生率均明显少于对照组(P<0.01或P<0.05)。结论微创钢板接骨术治疗胫骨平台骨折的临床疗效显著,值得临床推广应用。

ObJective：To investigate clinical effect of minimal invasive plate osteosynthesis in treatment for tibial plat-eau fractures. Methods：The clinical records of 124 cases of patients with tibial plateau fractures in our hospital were re-viewed. The treatment group（62）were treated by minimal invasive plate osteosynthesis. The control group（ 62 ）were treated by open reduction and plate fixation. The clinical effect of two groups were compared. Results：The excellent rate of the treatment group（91. 94% ）was higher than that of the control group（79. 03% ）（P 〈 0. 05）. The length of stay for fracture healing time,Rasmussen function scores and the incidence of adverse reactions of the treatment group were signifi-cantly lower than those of the control group（P 〈 0. 01,P 〈 0. 05）. Conclusion：The minimal invasive plate osteosynthesis in treatment for tibial plateau fractures has significant clinical effect.