锁定钢板内固定治疗复杂性胫骨平台骨折效果观察

Effects of locking plate internal fixation on complex tibial plateau fractures

目的探讨锁定钢板内固定治疗复杂性胫骨平台骨折的临床疗效。方法回顾性分析2016年6月至2017年6月110例复杂性胫骨平台骨折患者的临床资料,将所有患者随机分为观察组与对照组,每组55例。对照组予以双切口双钢板内固定治疗,观察组实施锁定钢板内固定治疗,比较两组患者膝关节功能恢复情况及各项临床指标。结果观察组患者膝关节恢复优良率为72.73%,高于对照组的50.91%,观察组负重时间、手术时间、术中出血量及愈合时间均少于对照组,差异有统计学意义(P<0.05)。结论将锁定钢板内固定术用于治疗复杂性胫骨平台骨折患者可有效缩短负重时间、骨折愈合时间等,有利于促进膝关节功能恢复,具有较高的临床治疗效果。

Objective To investigate the clinical effects of locking plate internal fixation on complex tibial plateau fractures. Methods A total of 110 patients with complex tibial plateau fractures in our hospital from June 2016 to June 2017 were selected. All patients were randomly divided into the observation group and the control group,with 55 cases in each group. The patients in the control group were treated with double incision and double plate internal fixation,and the patients in the observation group were treated with locking plate internal fixation. The recovery of knee function and clinical indicators of the two groups were compared. Results The rate of recovery of knee joint in the observation group was 72. 73%,which was higher than that of the control group（ 50. 91%）. The time of weight negative,the operation time,the amount of bleeding and the time of healing were less than those in the control group,and the differences were significant（ P〈0. 05）. Conclusions In the treatment of complex tibial plateau fractures,locking plate internal fixation can effectively shorten the time of weight bearing and fracture healing,which is conducive to promoting the recovery of knee function,and has high clinical effect.