单侧与双侧钢板内固定术治疗复杂胫骨平台骨折的疗效观察

Observation on the Curative Effects of Unilateral and Bilateral Internal Fixation with Steel Plate in the Treatment of Complex Tibial Plateau Fracture

目的观察单侧与双侧钢板内固定术治疗复杂胫骨平台骨折的疗效。方法选择我院2015年5月至2016年5月收治的复杂胫骨平台骨折患者90例,按照不同的术式分为两组各45例。观察组采用双侧钢板内固定术进行治疗,对照组采用单侧钢板内固定术进行治疗。观察和比较两组患者的手术时间、术中出血量、住院时间、骨折愈合时间、关节功能恢复情况及不良反应发生情况。结果 (1)观察组的关节功能恢复优良率为93.33%,显著高于对照组的66.67%,差异具有统计学意义(P<0.05)。(2)观察组的手术时间、住院时间、骨折愈合时间均显著短于对照组,差异具有统计学意义(P<0.05);两组的术中出血量比较差异无统计学意义(P>0.05)。(3)观察组的不良反应发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论和单侧钢板内固定术相比,双侧钢板内固定术治疗复杂胫骨平台骨折的疗效更显著,有利于促进关节功能恢复,缩短骨折愈合时间。

Objective To observe the curative effects of unilateral and bilateral internal fixation with steel plate in the treatment of complex tibial plateau fi＇acture. Methods 90 cases of patients with complex tibia1 plateau fracture admitted to our hospital from May 2015 to May 2016 were selected. According to the surgical methods, all cases were divided into two groups, with 45 cases in each group. The observation group was treated with bilateral internal fixation with steel plate, while the control group was treated with unilateral internal fixation with steel plate. The operation time, intraoperative blood loss, healing time of fracture, length of hospital stay, recovery of joint fimction, and incidences of adverse reactions were observed and compared between two groups. Results （1）The excellent and good rate of joint function recovery of observation group was 93.33%, significantly higher than 66.67% of control group （P 〈0.05）. （2）The operation time, length of hospital stay and healing time of fracture of observation group were significantly shorter than those of control group （P 〈0.05）, while no statistical difference was found between two groups in the intraoperative blood loss （P〉0.05）. （3）The incidences of adverse reactions of observation group were significantly lower than those of control group （P〈0.05）. Conclusions Bilateral internal fixation with steel plate has more significant efficacy than unilateral internal fixation with steel plate in the treatment of complex tibial plateau fracture, which can help to promote the recovery of joint function, and shorten the healing time of fracture.