胫骨远端解剖钢板治疗胫骨中下段骨折疗效比较

The Effective Comparisons of Tibial Distal Anatomical Steel Plates on Treating Intertrochanteric Fractures of the Middle and Lower Segment of Tibia

目的应用胫骨远端内侧解剖钢板和胫骨远端前外侧解剖钢板治疗胫骨中下段骨折,对2种方法的临床疗效进行比较分析。方法 63例胫骨中下段骨折患者按治疗方法不同,依次分为A组即胫骨远端内侧解剖钢板组和B组即胫骨远端前外侧解剖钢板组,分别以手术时间、术中出血量、骨折临床愈合时间及切口延迟愈合、钢板断裂及骨不连发生率作为临床评价指标,根据Johner-Wruhs关节功能评定标准评价术后患肢功能,用SPSS13.0统计学软件进行统计学分析。结果 A组和B组在手术时间、术中出血量及骨折临床愈合方面比较差异无统计学意义,(P>0.05);采用胫骨远端前外侧解剖钢板组患者切口延迟愈合、钢板断裂及骨不连发生率偏高,但无统计学差异(P>0.05);两组患肢功能恢复方面经Johner-Wruhs评分比较有显著差异(P<0.05)。结论应用胫骨远端内侧解剖钢板治疗胫骨中下段骨折可以获得更为理想的疗效。

Objective The aim of this thesis is to make comparisons and analysis of the clinical effect between tibial distal medial anatomical steel plate and tibial distal anterolateral anatomical steel plate on treating fractures of the middle and lower segment of tibia.MethodsThe research method was to divide the 60 patients with fractures of the middle and lower segment of tibia into 2 groups according to different treating ways： one with tibial distal medial anatomical steel plate, the other with tibial distal anterolateral anatomical steel plate. The author applied operation time, intraoperative blood loss, fracture healing time, the rate of delayed healing of incision, fracture of the steel plate and bone nonunion as the indexes of clinical evaluation and evaluated the postoperative limb function on the base of Johner - Wruhs joint function evaluation standard. And the results were analyzed by statistical software SPSS13.0.ResultsThere was no statistical difference in operation time, intraoperative blood loss and fracture healing time, （P〉0. 05）; the rate of delayed healing of incision, fracture of the steel plate and bone nonunion was a little higher in the group with tibial distal anterolateral anatomical steel plate, but there was no statistical difference, （P〉0. 05）; According to the Johner - Wruhs evaluation, there was signiifcant difference in limb function recovery between the two groups.Conclusion Therefore, the conclusion of this thesis is that applying tibial distal medial anatomical steel plate on treating fractures of the middle and lower segment of tibia could get more desired effect, which is really worth promoting.