钢板固定治疗胫骨平台骨折的临床疗效

Clinical Efficacy of Steel Plate Fixation Treating on Tibial Plateau Fractures

目的 探讨钢板内固定治疗胫骨平台骨折的临床疗效。方法 选择我院骨科57例胫骨平台骨折患者,根据不同骨折类型选择治疗方式,29例患者行单侧钢板内固定治疗,28例患者行双侧钢板内固定治疗,术后指导患者功能锻炼,随访观察骨折复位情况,主要参考正、侧位X线片进行评估。结果 患者均获随访,时间12-48个月,单侧及双侧钢板内固定治疗愈合时间分别为（17.6±6.8）周、（19.9±6.2）周,X线结果显示,单侧钢板有17例、双侧钢板有14例获得满意的关节面复位。结论 板内固定治疗胫骨平台骨折临床疗效满意。

Objective To explore the clinical efficacy of steel plate fixation treating tibial plateau fractures. Methods 57 patients received different operation according to the tibial plateau fractures types,29 patients received unilateral steel plate and the rest 28 patients received standard dual plate fixation, patients were guided with functional exercises after the operation and al patients were fol owed up after discharge to evaluate functional recovery,using X ray to check reduction of the fracture. Results Al patients were fol owed up for 12-42 months,the recovery time of the unilateral steel plate and standard dual plate fixation were respectively（17.8±6.3）weeks、（19.7±6.9）weeks,according to the results of X ray,there were 17 cases obtained satisfactory joint reduction in the unilateral plate group,in the dual plate group were 14 cases.Conclusion The clinical effcacy of steel plate fixation treating tibial plateau fractures is satisfactory.