解剖钢板治疗胫骨关节周围骨折

Treatment of Tibia Fracture nearing Articulation with LINK Anatomic Plates

目的 :比较普通加压钢板与解剖钢板治疗胫骨远近端骨折的临床效果。方法 :回顾性分析 1996年 3月～ 2 0 0 1年 6月收治的胫骨远端及近端骨折 178例 ,对其中随访资料完整的 10 2例进行分析。其中应用普通加压钢板治疗的有 64例 ,应用解剖钢板者 3 8例。平均术后随访 12个月。分别从手术时间、手术并发症、骨折愈合时间、关节功能恢复情况等方面进行分析。结果 :解剖钢板治疗组手术时间及骨折愈合时间短 ,并发症少、关节功能恢复好。结论 :应用解剖钢板治疗胫骨近端及远端骨折可取得良好效果。

Objective:To compare the clinical results of LINK anatomic plates with common plates in treating the fractures of the tibia near articulation.Methods:From Mar.1996 to Jun.2001,178 fractures of the tibia near articulation were operated and plated,102 of these cases were followed up.Sixty-four of these cases were treated with common plates and 38 with LINK anatomic plates.These cases were followed up from 10 months to 5 years(the average time was 12 months).The two groups were similar in the severity,the type and the method of reduction of the fractures .CPM differences in these two groups patients.Results:It was obvious that using LINK anatomic plates to treat the fractures of the tibia near articulation could save more operating and fracture healing time,be more convenient for the operator and give better joint function with fewer complications.Conclusion:LINK anatomic plates have a retional design and their contours are congruent with the bones'.They can provide enough stability which meets the need of early functional exercises.They are very suitable for treating the fractures of the tibia near articulation.