胫骨远端骨折应用锁定加压钢板与外固定架治疗的对比研究

Comparative Study on Distal Tibial Fractures Application of Locking Compression Plate and External Fixator

目的比较研究胫骨远端骨折应用锁定加压钢板与外固定架治疗的效果。方法将74例胫骨远端骨折患者采取对照平分的方式分成A组和B组,各37例,A组采取锁定加压钢板治疗,B组采取外固定架治疗,观察对比两组治疗效果。结果和B组相比,A组患者平均出血量少、骨折愈合时间短,差异具有统计学差异(P<0.05)。两组骨折愈合优良率对比,差异不具有统计学意义(P>0.05)。结论在胫骨远端骨折的临床治疗中,锁定加压钢板和外固定架疗效相当,但前者在术中出血量和骨折愈合时间上存在优势。

Objective To compare the effect of locking compression plate and external fixator in the treatment of distal tibial fractures.Methods Selected 74 cases of distal tibial fractures were divided into A group and B group,37 cases in each group,A group was treated with locking compression plate,B group was treated with external fixator,and the effect of the two groups were observed and compared.Results Compared with the B group,the average amount of bleeding in patients with A group was less than that in group,and the fracture healing time was shorter,and the difference was significant（P〈0.05）.There was no significant difference in the fine rate of fracture healing between the two groups（P〉0.05）.Conclusion In the clinical treatment of distal tibial fractures,locking compression plate and external fixator has a considerable effect,but the former has a significant advantage in the intraoperative blood loss and fracture healing time.