胫骨锁定钢板治疗复杂胫骨平台骨折的疗效及并发症分析

Analysis of efficacy and complications of tibial locking plate in treatment of complex tibial plateau fractures

目的探讨锁定钢板治疗复杂胫骨平台骨折患者的临床疗效,分析并发症发生的原因并提出预防处理方法。方法回顾性分析2016年1月至2019年1月采用胫骨锁定钢板内固定治疗56例复杂胫骨平台骨折患者的临床资料,根据Rasmussen膝关节功能评分评估手术疗效,观察术后并发症发生情况。结果平均随访时间(12±6)个月。末次随访时根据Rasmussen膝关节功能评分标准,优25例、良26例、中5例,优良率91%。术后出现1例伤口感染,2例膝关节轻度内翻,1例膝关节不稳定。结论胫骨锁定钢板治疗复杂胫骨平台骨折患者手术时间短、损伤小,患者术后膝关节功能恢复满意,但仍存在一定并发症,要术者做好充分的术前评估,熟练掌握手术技巧,尽可能减少术后并发症的发生。

Objective To explore the clinical effects of tibial locking plate for treating patients with complex tibial plateau fractures,and to analyze the causes of complications and to provide the prevention and countermeasures.Methods Clinical data of 56 patients with complex tibial plateau fractures treated by tibial locking plate from January 2016 to January 2019 in Kaiping Central Hospital were retrospectively analyzed.Therapeutic effects were evaluated according to Rasmussen knee function score,and the postoperative complications were observed.Results The follow-up time was(12±6)months on average.According to Rasmussen knee function scoring criteria,there were excellent in 25 cases,good in 26,fair in five,with the excellent and good rate of 91.07%at the last follow-up.Postoperative complications included one case of wound infection,two cases of mild varus of knee joint,one case of knee instability.Conclusion For patients with complex tibial plateau fractures,tibial locking plate has the advantages of short operation time,minor injury and satisfactory recovery of knee function;but certain postoperative complications still exist,which need surgeons to evaluate the patients before the surgery adequately,have proficient surgical skills,so as to reduce the incidence of complications as far as possible.