[1]刘健民.胫骨近端解剖钢板与锁定钢板治疗胫骨平台骨折的疗效比较[J].医学信息,2020,33(16):123-124.[doi:10.3969/j.issn.1006-1959.2020.16.038]
　LIU Jian-min.Comparison of Therapeutic Effects Between Anatomical Plate and Locking Plate on the Treatment of Tibial Plateau Fracture[J].Medical Information,2020,33(16):123-124.[doi:10.3969/j.issn.1006-1959.2020.16.038]
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胫骨近端解剖钢板与锁定钢板治疗胫骨平台骨折的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年16期
页码:
123-124
栏目:
临床研究
出版日期:
2020-08-15

文章信息/Info

Title:
Comparison of Therapeutic Effects Between Anatomical Plate and Locking Plate on the Treatment of Tibial Plateau Fracture
文章编号:
1006-1959（2020）16-0123-02
作者:
刘健民
（天津市武清区第二人民医院骨科，天津 301700）
Author(s):
LIU Jian-min
(Department of Orthopedics, the Second People’s Hospital of Wuqing District,Tianjin 301700,China)
关键词:
胫骨近端解剖钢板; 锁定钢板; 胫骨平台骨折
Keywords:
Proximal tibial anatomical plate; Locking plate; Tibial plateau fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2020.16.038
文献标志码:
A
摘要:
目的 比较胫骨近端解剖钢板与锁定钢板固定治疗胫骨平台骨折的疗效。方法 选取2017年6月~2019年6月我院收治的胫骨平台骨折患者50例作为研究对象，按照随机数字表法分为实验组和对照组，每组25例。实验组采用锁定钢板固定治疗，对照组采用经骨近端解剖钢板固定治疗，比较两组临床指标、HSS评分及术后并发症发生情况。结果 实验组手术时间、术后骨折愈合时间、完全负重时间及住院时间均短于对照组，术中出血量少于对照组（P＜0.05）；实验组HSS优良率为88.00%，高于对照组的72.00%（P＜0.05）；实验组并发症发生率为7.00%，低于对照组的28.00%（P＜0.05）。结论 锁定钢板固定治疗胫骨平台骨折患者可加快患者术后康复出院时间、缩短骨折愈合时间，且术后并发症更少，安全性高。
Abstract:
Objective To compare the clinical efficacy of proximal tibial anatomic plate and locking plate in the treatment of tibial plateau fracture.Methods From June 2017 to June 2019, 50 patients with tibial plateau fracture in our hospital were selected as the research objects. They were randomly divided into experimental group and control group with 25 cases in each group. The experimental group was treated with locking plate fixation, while the control group was treated with proximal bone anatomical plate fixation. The operation conditions, fracture healing time, complete weight-bearing time and hospitalization time, postoperative complications and HSS score were compared between the two groups.Results The operation time, fracture healing time, complete weight-bearing time and hospitalization time of the experimental group were shorter than those of the control group, the amount of bleeding during operation was less than that of the control group(P<0.05); and the HSS excellent rate of the experimental group was 88.00%, which better than that of 72.00% in the control group(P<0.05);the incidence of complications of the experimental group was 8.00%, which lower than that of 28.00% in the control group (P<0.05).Conclusion Locking plate fixation is the first choice for the treatment of tibial plateau fracture because of its shorter recovery time, shorter fracture healing time, less postoperative complications and higher safety.

参考文献/References:

[1]张传俊.胫骨近端解剖钢板与锁定钢板在胫骨平台骨折治疗中的临床疗效比较[J].中国现代药物应用,2016,10(20):62-63. [2]孟光强,耿德虎.胫骨近端解剖钢板与锁定钢板用于胫骨平台骨折中的比较[J].中国伤残医学,2016,24(6):46-47. [3]韩蕊,杨悦,葛介臣,等.解剖钢板与锁定钢板治疗胫骨平台骨折的疗效比较[J].中国医学创新,2017,14(19):118-121.[4]李哲,孙贺,付世杰,等.解剖钢板与锁定加压钢板治疗复杂开放性胫骨平台骨折的效果[J].中国医药导报,2015(27):82-85.[5]韩二鹏,张雪.不同内固定方式治疗胫骨平台骨折的临床疗效分析[J].中国中西医结合外科杂志,2016,22(3):294-295.

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更新日期/Last Update: 1900-01-01