锁定钢板微创治疗四肢近关节端骨折临床分析

目的观察四肢近关节端部位骨折损伤采用锁定钢板进行微创治疗的过程与临床效果。方法研究141例近关节端部位骨折的伤患,以锁定钢板为其实施微创内固定治疗,分析患者骨折部位愈合与功能恢复的情况及微创手术治疗相关情况,总结其临床疗效。结果本组141例伤患平均接受为时(63.7±11.3)min的手术治疗,术中出血量为(122.3±19.1)mL,住院时间为(13.5±1.1)d。术后,随访141例患者0.5～1年,伤口完全愈合,均未出现内固定无效或畸形愈合的问题,且临近关节具有良好活动度。结论四肢近关节端受到骨折损伤的患者,在临床治疗中,接受由锁定钢板进行固定的微创治疗,固定效果良好,且有助于其受伤部位愈合与功能恢复。

Clinical analysis of minimally invasive treatment of limbs fracture locking plate near joints

Objective To observe the limbs near joint fractures treated with locking plate for damage and clinical effect of minimally invasive treatment. Methods 141 cases of fracture of proximal joint end parts of the patient, with locking plate for the treatment of patients with minimally invasive internal fixation, fracture healing and functional recovery of minimally invasive operation and the treatment of the relevant circumstances, summarize its clinical efficacy. Results In this group, 141 cases of patients accepted operation treatment is the mean of （63.7±11.3）min, the bleeding volume was （122.3 ± 19.1）mL, duration of hospitalization was （13.5±1.1d）. After the operation, 141 patients were followed up in 0.5-1 years, wound healing, all did not appear ineffective internal fixation or malunion, and near the joint has good activity. Conclusion The limbs near joints by fracture patients, in clinical treatment, accept the minimally invasive treatment of fixed by locking plate, good fixing effect, and contribute to the wound healing and functional recovery.