双钢板固定和锁定钢板内固定治疗胫骨平台骨折的对比研究  

Comparative research between dual plate fixation and locking plate fixation in the treatment of tibial plateau fracture

作　　者：王道生 吴盛荣 

机构地区：[1]汕头市濠江区新圣创伤骨科医院骨科,515073 [2]汕头潮南民生医院骨科

出　　处：《中国实用医药》2015年第12期29-30,共2页China Practical Medicine

摘　　要：目的比较锁定钢板与双钢板内固定治疗胫骨平台骨折的临床疗效。方法 42例胫骨平台骨折患者,按不同手术治疗方案分为对照组(行双钢板内固定手术治疗)和观察组(行锁定钢板内固定治疗),各21例,对两种术式的临床疗效进行综合比较。结果术后6个月,观察组治疗优良率为85.71%,高于对照组71.43%,但组间差异无统计学意义(P>0.05);观察组患者在术后完全负重时间、骨折愈合时间以及随访期间美国纽约特种外科医院(HSS)膝关节功能评分均优于对照组患者(P<0.05)。结论锁定钢板与双钢板内固定治疗胫骨平台骨折效果相当,但锁定钢板更有利于患者膝关节功能恢复。Objective To compare the clinical effects between dual plate fixation and locking plate fixation in the treatment of tibial plateau fracture.Methods A total of 42 patients of tibial plateau fracture were divided by different surgical measures into control group （dual plate fixation for surgical treatment） and observation group （locking plate fixation for treatment）, with 21 cases in each group. Comprehensive comparison was made between clinical effects of the two groups.Results In 6 months after surgery, the observation group had the good rate as 85.71%, which was higher than 71.43% of the control group, however the difference between the two groups had no statistical significance （P〉0.05）. The observation group had better postoperative full weight-bearing time, healing time, and the hospital for special surgery （HSS） knee function score during follow-up than the control group （P〈0.05）.Conclusion Locking plate and dual plate internal fixation have similar effects in treating tibial plateau fracture, while locking plate is more helpful for knee joint function recovery.

关 键 词：锁定钢板 双钢板 胫骨平台骨折 

分 类 号：R687.3[医药卫生—骨科学]