CAJ | 학술논문

目的对切开复位锁定加压高尔夫球棒骨板固定治疗胫骨平台骨折的临床疗效进行分析.方法选取2008年9月~2011年9月江西省南康市第一人民医院收治的胫骨平台骨折患者72例,随机分为两组.对照组采取L型钢板内固定治疗,观察组采取加压高尔夫球棒骨板内固定治疗,对两组手术方法的临床疗效进行比较分析.结果观察组总有效率91.67%,对照组总有效率66.67%,差异有统计学意义(P<0.05),两组手术未出现切口感染、血管神经损伤、组织感染坏死、内固定钢板松动等并发症.结论切开复位锁定加压高尔夫球棒骨板固定是治疗胫骨平台骨折安全、有效的方法,值得临床推广应用.
목적대절개복위쇄정가압고이부구봉골판고정치료경골평태골절적림상료효진행분석.방법선취2008년9월~2011년9월강서성남강시제일인민의원수치적경골평태골절환자72례,수궤분위량조.대조조채취L형강판내고정치료,관찰조채취가압고이부구봉골판내고정치료,대량조수술방법적림상료효진행비교분석.결과관찰조총유효솔91.67%,대조조총유효솔66.67%,차이유통계학의의(P<0.05),량조수술미출현절구감염、혈관신경손상、조직감염배사、내고정강판송동등병발증.결론절개복위쇄정가압고이부구봉골판고정시치료경골평태골절안전、유효적방법,치득림상추엄응용.
Objective To analysis the effectiveness of open reduction lock with golf clubs bone plate fixation in treatment of tibial plateau fracture. Methods 72 cases of patients with tibial plateau fracture were selected from September 2008 to September 2011, and they were randomly divided into two groups. The control group patients taked L steel plate internal fixation for treatment. The observation group patients taked golf clubs bone plate internal fixation for treatment. The clinical effect of two surgical method were compared and analysised. Results Through the comparison,total effective rate of the observation group was 91.67%, and total effective rate of the control group was 66.67%. The difference was with the statistical significance (P<0.05). The complications such as infection of incision, tissue infection necrosis, internal fixation plate loose did not appear in operation. Conclusion Open reduction lock with golf clubs bone plate fixation is a safety and effective method for tibial plateau fracture, which is worthy of clinical application.