锁定钢板内固定治疗复杂胫骨平台骨折的临床效果分析

Clinical effect analysis of locking plates internal fixation in the treatment of complex tibial plateau fracture

目的分析锁定钢板内固定治疗复杂胫骨平台骨折的临床效果。方法 36例复杂胫骨平台骨折患者,随机分为观察组(18例)和对照组(18例),观察组采取锁定钢板内固定治疗,对照组采取普通钢板固定治疗。观察两组患者的住院时间、骨折愈合时间及完全负重时间并进行对比分析。结果观察组的住院时间、骨折愈合时间及完全负重时间明显短于对照组(P<0.05);观察组总有效率为88.9%,对照组为55.6%,观察组总有效率明显高于对照组(P<0.05)。结论锁定钢板内固定在治疗复杂胫骨平台骨折方面的临床效果显著,可以有效缩短患者住院时间,帮助骨折及早愈合,膝关节功能恢复快,患者负重时间短,是目前临床治疗复杂胫骨平台骨折的最佳方法。

Objective To analyze the clinical effect of locking plates internal fixation in the treatment of complex tibial plateau fracture. Methods A total of 36 patients of complex tibial plateau fracture were randomly divided into observation group （18 cases） and control group （18 cases）. The observation group received locking plates internal fixation for treatment, the control group was given normal plate fixation for treatment. Observation and comparative analysis were made on hospital stay, fracture healing time, and complete weight load time between the two groups. Results The observation group had shorter hospital stays, fracture healing time, and complete weight load time than the control group （P〈0.05）. The total effective rate of the observation group was 88.9%, and that of the control group was 55.6%. The observation group had remarkably higher total effective rate than the control group （P〈0.05）. Conclusion Locking plates internal fixation has precise effect in treating complex tibial plateau fracture, and it can effectively shorten hospital stay and make fracture heal quickly. It provides rapid knee function recovery and short weight load time, and it is the best method for treating complex tibial plateau fracture in present time.