锁定钢板内固定治疗复杂胫骨平台骨折65例临床分析

目的探讨锁定钢板内固定在复杂胫骨平台骨折治疗中的临床应用价值。方法将130例复杂胫骨平台骨折患者随机分为观察组和对照组各65例,观察组采用锁定钢板内固定治疗,对照组采用空心钉治疗。结果观察组的术后住院时间和骨折愈合时间均少于对照组,优良率高于对照组,两组比较,差异有统计学意义（P〈0.05）。结论锁定钢板内固定治疗复杂胫骨平台骨折能获得坚强有效的内固定,有利于关节功能的早期锻炼,从而减少术后并发症的发生,具有微创、安全等优点,值得临床推广。

Clinical analysis of locking plate internal fixation in treatment of 65 cases of tibial plateau fractures

Objective To investigate the clinical effects of internal fixation with locking plate in treatment of tibial plateau fractures. Methods The 130 cases of fractures of tibial plateau were randomly divided into observation group and control group, with 65 cases in each group. The observation group was treated by internal fixation with locking plate, while the control group was treated by hollow nail, then the treatment effects of two groups were compared. Results Postoperative hospitalized time and fracture healing time of observation group were less than control group, the excellent rate of observation group was also higher than control group, there were significant differences between two groups （P 0.05）. Conclusion The treatment of internal fixation with locking plate can get a strong and effective internal fixation for fractures of tibial plateau. It is good for early rehabilitation exercise of the joint function so that can lower the post-operative complications with advantage of safe and minimally invasive; it is worthy to be used in clinical surgery widely.