CAJ | 학술논문

目的：比较双侧锁定钢板与非锁定钢板治疗SchatzkerⅤ型～Ⅵ型胫骨平台骨折临床疗效差异。方法：将85例Schatzker Ⅴ型～Ⅵ型胫骨平台骨折根据术中不同内固定方法分为两组，分别对两组患者术后骨折复位程度及膝关节稳定性（TPA、PA）、骨折愈合时间、完全负重时间、术后1年膝关节活动度及膝关节功能评分等进行比较。结果：两组患者术后骨折复位情况、骨折愈合时间、完全负重时间、膝关节活动度、膝关节功能评分相比较，P＞0．05，差别无统计学意义，术后两组患者PA比较，P＜0．05，差别有统计学意义。结论：双侧锁定钢板内固定治疗Schatzker Ⅴ型～Ⅵ型胫骨平台骨折患者，术后膝关节的稳定性及术后下肢力线稳定作用优于非锁定钢板内固定组，其疗效更好。
목적：비교쌍측쇄정강판여비쇄정강판치료SchatzkerⅤ형～Ⅵ형경골평태골절림상료효차이。방법：장85례Schatzker Ⅴ형～Ⅵ형경골평태골절근거술중불동내고정방법분위량조，분별대량조환자술후골절복위정도급슬관절은정성（TPA、PA）、골절유합시간、완전부중시간、술후1년슬관절활동도급슬관절공능평분등진행비교。결과：량조환자술후골절복위정황、골절유합시간、완전부중시간、슬관절활동도、슬관절공능평분상비교，P＞0．05，차별무통계학의의，술후량조환자PA비교，P＜0．05，차별유통계학의의。결론：쌍측쇄정강판내고정치료Schatzker Ⅴ형～Ⅵ형경골평태골절환자，술후슬관절적은정성급술후하지력선은정작용우우비쇄정강판내고정조，기료효경호。
Objective Compare the clinical between locking plate and unlocking plate in treatment of Schatzker Ⅴ type ~Ⅵ tibial plateau fractures. Methods According to different fixation methods,85 cases SchatzkerⅤtype ~Ⅵtibial plateau fractures were divided into two groups,and to compare two groups of degree of postoperative fractures and knee stability (TPA, PA), fracture healing time , time to full weight bearing , knee activity after 1 year and knee function score. Results Compared two groups of postoperative fractures situation , fracture healing time , full weight bearing , knee mobility, knee function score,P>0.05,the difference was not statistically significant. Compared two groups of PA,P <0.05,the difference was statistically significant. Conclusion Stability of the knee after surgery and postoperative limb alignment stabilizing role of locking plate fixation Schatzker Ⅴ type ~Ⅵ tibial plateau fractures was better than to unlocking plate fixation group.