锁定钢板内固定治疗复杂胫骨平台骨折临床疗效分析

目的:探讨锁定钢板内固定治疗复杂胫骨平台骨折的临床治疗效果.方法:选取2008年2月～2010年8月于我科进行治疗的192例复杂胫骨平台骨折患者为研究对象,将其分为实验组(锁定钢板内固定组)96例和观察组(传统双钢板内固定组)96例,后将两组患者骨折愈合时间、随访6个月的膝关节功能情况进行统计及比较.结果:实验组患者骨折愈合时间、随访6个月的膝关节功能情况明显优于观察组(P＜0.05),差异有统计学意义.结论:锁定钢板内固定治疗复杂胫骨平台骨折临床效果好,固定稳定牢靠,骨折愈合时间短,能够进行早期功能锻炼,关节功能较好.

A Comparison Study on the Treatment of Complex Tibial Plateau Fractures

Objective:To compare the treatment of the complex tibial plateau fractures using a locking plate and two conventional plates.Methods:From Federacy 2008 to Augest 2010,192 patients with complex tibial plateau fractures were randomly divided into group A(n=96) and B(n=96).In group A,the fracture was fixed using a locking plate.In group B,the fracture was fixed using two conventional plates.At final follow-up of 6 months,the time of bone union and the function of the knee were recorded and analyzed.Results:The time of bone union and the function of the knee of group A were apparently superior to those of group B.There was a significant difference between the two groups(P<0.05).Conclusion: In the treatment of complex tibial plateau fractures,the locking plate can provided more rigid fixation,which results in a shorter time of bone union.The fixation allows early joint motion,which results in a good knee function.