單側(cè)鎖定鋼板與雙鋼板內(nèi)固定治療復(fù)雜型脛骨平臺骨折的療效對比分析
發(fā)布時間：2018-11-24 07:33
【摘要】：背景/目的:比較雙切口雙鋼板與單側(cè)鎖定鋼板內(nèi)固定治療復(fù)雜型脛骨平臺骨折的療效。方法:回顧性分析我院自2009年6月至2014年6月間治療的102例復(fù)雜型脛骨平臺骨折患者的臨床資料,根據(jù)術(shù)前CT表現(xiàn)的不同,其中54位(54%)患者采用雙鋼板治療,為A組,48位(46%)患者采用鎖定鋼板治療,其中22位(22%)含有冠狀位骨折線,為B組,26位(24%)不含冠狀位骨折線,為C組,觀察比較三組的手術(shù)效果。結(jié)果:三組的傷口感染率、骨折不愈合發(fā)生率、術(shù)后即刻的X線顯示復(fù)位不良的發(fā)生率比較,差異無統(tǒng)計學(xué)意義(P0.05),骨折愈合后(6個月以上)的X線顯示新出現(xiàn)的復(fù)位不良的發(fā)生率的比較,差異有統(tǒng)計學(xué)意義(P0.05)。兩兩對比時可見B組骨折愈合后的X線顯示復(fù)位不良的發(fā)生率明顯高于其他兩組,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:對于大多數(shù)復(fù)雜型脛骨平臺骨折而言,單純外側(cè)鎖定鋼板能有效固定骨折并獲得良好的療效。但內(nèi)側(cè)髁合并冠狀位骨折的病例以單純外側(cè)鎖定鋼板固定后骨折復(fù)位丟失的發(fā)生率較高,在軟組織條件允許的條件下建議使用雙鋼板。
[Abstract]:Background / AIM: to compare the efficacy of double incision plate and unilateral locking plate in the treatment of complex tibial plateau fractures. Methods: the clinical data of 102 patients with complex tibial plateau fractures treated in our hospital from June 2009 to June 2014 were retrospectively analyzed. According to the different CT findings before operation, 54 patients (54%) were treated with double plate. 48 cases (46%) were treated with locking plate, 22 cases (22%) had coronal fracture line, 26 cases (24%) had no coronal fracture line. Results: there was no significant difference in the rate of wound infection, the incidence of fracture nonunion and the incidence of poor reduction by X-ray immediately after operation (P0.05). After fracture healing (more than 6 months) X-ray showed the incidence of new bad reduction, the difference was statistically significant (P0.05). In contrast, the incidence of poor reduction in group B was significantly higher than that in other two groups, the difference was statistically significant (P0.05). Conclusion: for most complex tibial plateau fractures, only lateral locking plate can effectively fix the fractures and obtain good results. However, the incidence of loss of reduction in patients with medial condylar fracture complicated with coronal fracture was higher after fixation with only lateral locking plate. Double plate should be used when soft tissue conditions permit.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3
本文編號：2352801
[Abstract]:Background / AIM: to compare the efficacy of double incision plate and unilateral locking plate in the treatment of complex tibial plateau fractures. Methods: the clinical data of 102 patients with complex tibial plateau fractures treated in our hospital from June 2009 to June 2014 were retrospectively analyzed. According to the different CT findings before operation, 54 patients (54%) were treated with double plate. 48 cases (46%) were treated with locking plate, 22 cases (22%) had coronal fracture line, 26 cases (24%) had no coronal fracture line. Results: there was no significant difference in the rate of wound infection, the incidence of fracture nonunion and the incidence of poor reduction by X-ray immediately after operation (P0.05). After fracture healing (more than 6 months) X-ray showed the incidence of new bad reduction, the difference was statistically significant (P0.05). In contrast, the incidence of poor reduction in group B was significantly higher than that in other two groups, the difference was statistically significant (P0.05). Conclusion: for most complex tibial plateau fractures, only lateral locking plate can effectively fix the fractures and obtain good results. However, the incidence of loss of reduction in patients with medial condylar fracture complicated with coronal fracture was higher after fixation with only lateral locking plate. Double plate should be used when soft tissue conditions permit.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3
【參考文獻】
相關(guān)期刊論文 前2條
1 楊冬發(fā);;脛骨平臺骨折的治療—附126例報告[J];中國矯形外科雜志;2006年10期
2 蔡國平;熊敏;劉德昌;張新潮;張康樂;;雙切口內(nèi)外側(cè)支撐鋼板治療Schatzker Ⅴ型脛骨平臺骨折[J];中國矯形外科雜志;2010年12期
，本文編號：2352801
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