锁定钢板内固定术在复杂胫骨平台骨折中的应用价值研究

Application of locking plate internal fixation in complex tibial plateau fractures

目的:探讨锁定钢板内固定术在复杂胫骨平台骨折中的应用价值.方法:选择于2015年1月-2017年1月期间在我院骨科住院行手术治疗的复杂胫骨平台骨折患者90例,根据手术方式将该90例患者分为观察组(n=45)与对照组(n=45);其中观察组予以锁定钢板内固定术治疗,对照组予以普通的钢板内固定术治疗.观察、对比2组患者术中及术后的相关指标.结果:观察组的手术时间、术后住院时间、骨折愈合时间较对照组明显缩短,术中的出血量也明显减少,且P<0.05,差异具有统计学意义;观察组术后6个月的膝关节功能优良率为93.33%,对照组术后6个月的膝关节功能优良率为77.78%;2组比较,P<0.05,差异具有统计学意义;观察组有1例发生并发症,发生率为2.22%,对照组发生并发症者有6例,发生率为13.33%,2组比较,P<0.05,差异具有统计学意义.结论:锁定钢板内固定术治疗复杂胫骨平台骨折疗效确切,手术耗时短,术中出血量少,术后恢复快,骨折愈合时间短,还能明显改善患者膝关节功能,降低并发症发生率,值得在临床上推广应用.

Objective: To evaluate the value of locking plate internal fixation in complex tibial plateau fractures. Methods: A total of 90 patients with complex tibial plateau fractures underwent surgical treatment in our hospital from January 2015 to January 2017 were divided into observation group ( n =45) and control group according to the surgical procedure ( n = 45 ). The observation group was treated with locking plate fixation, and the control group was treated with ordinary plate fixation. Observation and comparison of the two groups of patients after surgery and related indicators. Results: The operation time, postoperative hospital stay and fracture healing time in the observation group were significantly shorter than those in the control group, and the amount of bleeding was significantly reduced in the operation group ( P <0. 05). The difference was statistically significant. The excellent and good rate of joint function was 93. 33%. The excellent rate of knee function was 77. 78% in the control group at 6 months after operation. P <0. 05 , the difference was statistically significant;1 case of complication occurred in the observation group, The incidence was 2. 22%, the control group occurred in 6 cases, the incidence was 13. 33%, the two groups, P <0. 05 , the difference was statistically significant. Conclusion: The treatment of complex tibial plateau fixation was effective, the operation time was short, the intraoperative blood loss was small, the postoperative recovery was quick, the fracture healing time was short, but also could improve the knee function and reduce the complication rate, Worthy of clinical application.