CAJ | 학술논문

目的探讨双切口锁定型高尔夫联合支撑钢板治疗胫骨平台粉碎性骨折的方法及疗效.方法胫骨平台粉碎性骨折患者80例,按入院顺序分为两组,观察组40例采用双切口切开复位锁定型高尔夫联合支撑钢板治疗,对照组采用传统单切口T形钢板进行治疗,对比两组临床疗效.结果 80例患者均获随访.观察组优良率67.5％,显著高于对照组45.0％；并发症发生率2.5％,显著低于对照组22.5％,均差异有统计学意义(P＜0.05).两组患者的复位情况、愈合时间、负重时间、HSS评分均观察组显著优于对照组(P＜0.05).结论双切口锁定型高尔夫联合支撑钢板治疗胫骨平台粉碎性骨折,具有创伤小,固定可靠,可早期功能锻炼,并发症少等优点.
목적 탐토쌍절구쇄정형고이부연합지탱강판치료경골평태분쇄성골절적방법급료효.방법 경골평태분쇄성골절환자80례,안입원순서분위량조,관찰조40례채용쌍절구절개복위쇄정형고이부연합지탱강판치료,대조조채용전통단절구T형강판진행치료,대비량조림상료효.결과 80례환자균획수방.관찰조우량솔67.5％,현저고우대조조45.0％；병발증발생솔2.5％,현저저우대조조22.5％,균차이유통계학의의(P＜0.05).량조환자적복위정황、유합시간、부중시간、HSS평분균관찰조현저우우대조조(P＜0.05).결론 쌍절구쇄정형고이부연합지탱강판치료경골평태분쇄성골절,구유창상소,고정가고,가조기공능단련,병발증소등우점.
Objective To investigate the methods and effect of the dual incision lock type golf combined with support plate in the treatment of tibial plateau fracture.Methods 80 cases with comminuted fracture of the tibial plateau were randomly divided into two groups.40 cases in the observation group were given the dual incision lock type golf combined with support plate.and the control group used traditional single incision T-shaped steel treatment.The clinical efficacy was compared between the two groups.Results 80 patients were followed up.Excellent rate of the observation group was 67.5％,which was significantly higher than 45.0％ of the control group.The incidence rate of complication in observation group was 2.5 ％,which was significantly lower than 22.5 ％ in the control group (P ＜ 0.05).The reset extent of patients,healing time,loading time,HSS score of the observation group were significantly better than those of the control group (P ＜ 0.05).Conclusion The dual incision lock type golf combined with support plate in the treatment of tibial plateau fracture has less trauma,reliable fixation,early functional exercise andfewer complications.