改良双切口锁定钢板治疗复杂胫骨平台骨折的临床疗效

The clinical efficacy of modified double incision locking plate in the treatment of complex tibial plateau fractures

目的:探讨改良双切口锁定钢板治疗复杂胫骨平台骨折的临床疗效及术后Merchant膝关节功能评分情况。方法:采用改良双切口锁定钢板治疗复杂胫骨平台骨折病人16例,观察病人的术中出血量、术后骨折愈合时间、完全负重时间及Merchant膝关节功能评分。结果:病人术中出血量为(184.03±9.37)m L,术后骨折愈合时间为(87.39±11.83)d,完全负重时间为(100.57±13.58)d,Merchant膝关节功能评分:优8例,良5例,尚可2例,差1例,优良率81.25%。结论:改良双切口锁定钢板治疗复杂胫骨平台骨折的方法较稳定,骨折愈合时间及完全负重时间较短,且Merchant膝关节功能评分较高。

Objective：To explore the clinical efficacy of modified double incision locking plate in the treatment of complex tibial plateau fractures and Merchant knee joint function score after operation.Methods：Sixteen patients with complex tibial plateau fractures were treated with modified double incision locking plate.The intraoperative bleeding,postoperative healing time,full weight-bearing time and Merchant knee function score in all cases were observed.Results：The intraoperative bleeding,postoperative healing time and full weight-bearing time were（184.03±9.37）mL,（87.39±11.83）d and（100.57±13.58）d,respectively.The postoperative Merchant knee joint function score showed excellent in 8 cases,good in 5 cases,fair in 2 cases and poor in 1 case,and the excellent and good rate of which was 81.25%.Conclusions：The modified double incision locking plate in the treatment of complex tibial plateau fractures is stable method,with short healing and full weight-bearing time,and high Merchant knee function score.