中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
5期
19-20,21
,共3页
锁定钢板内固定%植骨%胫骨平台骨折
鎖定鋼闆內固定%植骨%脛骨平檯骨摺
쇄정강판내고정%식골%경골평태골절
Locking plate internal fixation%Bone graft%Tibial plateau fractures
目的：探讨锁定钢板内固定并植骨对于临床复杂胫骨平台骨折的治疗效果。方法：选取2008年2月-2013年2月本院收治的58例复杂性胫骨平台骨折患者作为研究对象，其中38例采用锁定钢板稳定固定并植骨治疗的患者作为观察组，20例采用传统钢板固定治疗的患者作为对照组。术后根据骨折类型及手术固定情况，早期结合CPM机、膝关节外固定支架行膝关节功能锻炼。术后平均随访15.4个月。比较两组治疗后关节功能恢复情况及术后出现关节面下沉并发症的发生率。结果：观察组手术后膝关节评分优良率为86.8%，明显高于对照组的70.0%，且观察组患者术后没有出现关节面下沉等并发症，而对照组此类并发症的发生率明显高于观察组，差异均有统计学意义（P<0.05）。结论：锁定钢板内固定并植骨治疗复杂胫骨平台骨折较传统的内固定治疗效果明显，其治愈率高，患者膝关节功能恢复好，致残率低，值得临床推广使用。
目的：探討鎖定鋼闆內固定併植骨對于臨床複雜脛骨平檯骨摺的治療效果。方法：選取2008年2月-2013年2月本院收治的58例複雜性脛骨平檯骨摺患者作為研究對象，其中38例採用鎖定鋼闆穩定固定併植骨治療的患者作為觀察組，20例採用傳統鋼闆固定治療的患者作為對照組。術後根據骨摺類型及手術固定情況，早期結閤CPM機、膝關節外固定支架行膝關節功能鍛煉。術後平均隨訪15.4箇月。比較兩組治療後關節功能恢複情況及術後齣現關節麵下沉併髮癥的髮生率。結果：觀察組手術後膝關節評分優良率為86.8%，明顯高于對照組的70.0%，且觀察組患者術後沒有齣現關節麵下沉等併髮癥，而對照組此類併髮癥的髮生率明顯高于觀察組，差異均有統計學意義（P<0.05）。結論：鎖定鋼闆內固定併植骨治療複雜脛骨平檯骨摺較傳統的內固定治療效果明顯，其治愈率高，患者膝關節功能恢複好，緻殘率低，值得臨床推廣使用。
목적：탐토쇄정강판내고정병식골대우림상복잡경골평태골절적치료효과。방법：선취2008년2월-2013년2월본원수치적58례복잡성경골평태골절환자작위연구대상，기중38례채용쇄정강판은정고정병식골치료적환자작위관찰조，20례채용전통강판고정치료적환자작위대조조。술후근거골절류형급수술고정정황，조기결합CPM궤、슬관절외고정지가행슬관절공능단련。술후평균수방15.4개월。비교량조치료후관절공능회복정황급술후출현관절면하침병발증적발생솔。결과：관찰조수술후슬관절평분우량솔위86.8%，명현고우대조조적70.0%，차관찰조환자술후몰유출현관절면하침등병발증，이대조조차류병발증적발생솔명현고우관찰조，차이균유통계학의의（P<0.05）。결론：쇄정강판내고정병식골치료복잡경골평태골절교전통적내고정치료효과명현，기치유솔고，환자슬관절공능회복호，치잔솔저，치득림상추엄사용。
Objective:To investigate the clinical effect of locking plate internal fixation and bone grafting in the treatment of complex tibial plateau fractures.Method:58 cases of complex tibial plateau fracture from February 2008 to February 2013 in our hospital were selected as research objects,38 cases were treated with locking plate internal fixation and bone grafting as the observation group,20 cases with conventional plate fixation as the control group.After operation,according to the types of fracture and fixation,early with CPM machine,knee joint external fixation support for functional exercise of knee joint.A mean follow-up of 15.4 months after the operation.The recovery of joint function and postoperative occurrence rate of complications of articular surface subsidence were compared between the two groups after treatment.Result:The excellent and good rate of knee scores in the observation group was 86.8%,it was significantly higher than the 70.0%of control group,and articular surface subsidence and other complications were no appeared, while the control group,the complication rates were significantly higher than the observation group,the differences were statistically significant(P<0.05). Conclusion:Locking plate internal fixation and bone grafting in the treatment of complex tibial plateau fractures has a good effect,the cure rate is high, knee joint function of patients recovered well,and low morbidity,is worthy of clinical promotion.
