使用拉力螺钉与支撑钢板治疗Schatzker Ⅰ型胫骨平台骨折的临床疗效比较分析

Comparative analysis of the clinical effects of the treatment of Schatzker Ⅰ type tibial plateau fractures with lag screw and support plate

目的:比较应用两种不同内固定材料治疗SchatzkerⅠ型胫骨平台骨折的短期临床效果。方法:收治需要切开复位内固定的SchatzkerⅠ型胫骨平台骨折患者72例,随机平分两组。对比两组的临床疗效。结果:术后随访12~18个月,膝关节功能评估参照HSS评分标准,螺钉固定组与钢板固定组差异无统计学意义(P>0.05)。结论:使用拉力螺钉与支撑钢板治疗SchatzkerⅠ型胫骨平台骨折的疗效均可靠。两种治疗方法治疗SchatzkerⅠ型胫骨平台骨折短期疗效无差别。

Objective:To compare the short term clinical effects of two different internal fixation materials for the treatment of Schatzker Ⅰ type tibial plateau fractures.Methods:72 cases of Schatzker type Ⅰ fractures of the tibia who need to be treated with open reduction and internal fixation were selected.They were randomly divided into the two groups on average.We compared the clinical efficacy of the two groups.Results:All patients were followed up for 12 to 18 months.The knee function evaluation could refer to the HSS score standard.There was no significant difference between the screw fixation group and the steel plate fixation group(P>0.05).Conclusion:The results of the treatment of Schatzker Ⅰ type tibial plateau fractures with the use of lag screw and support plate are reliable.There was no difference in short-term curative effect of Schatzker type Ⅰ tibial plateau fractures treated by two treatments.