锁定钛板联合植骨手术治疗股骨远端粉碎性骨折的临床效果  

Clinical Effect of Locking Titanium Plate Combined with Bone Grafting for Comminuted Fracture of Distal Femur

作　　者：尹桂明 YIN Gui-ming(Department of Orthopaedics, Wucheng County People's Hospital, Dezhou, Shandong Province, 253300 China)

机构地区：[1]武城县人民医院骨科

出　　处：《系统医学》2019年第17期112-114,共3页Systems Medicine

摘　　要：目的探讨锁定钛板联合植骨手术治疗股骨远端粉粹性骨折的临床效果。方法搜集2016年7月—2018年7月期间在该院接受治疗的92例股骨远端粉粹性骨折的患者作为重点对象,根据术式的不同划分为参照组(解剖钢板联合植骨手术治疗)及治疗组(锁定钛板联合植骨手术治疗),且每组等分为46例,对所有患者经不同治疗方法治疗后的临床效果进行比对与分析,并予以总结。结果治疗组股骨远端粉粹性骨折患者的手术时间、术中出血量、骨折愈合时间,均显著优于参照组,差异有统计学意义(t=4.325、4.016、4.364,P<0.05);治疗组股骨远端粉粹性骨折患者经术后出现的并发症总发生率为2.17%(1/46),显著低于参照组股骨远端粉粹性骨折患者术后并发症总发生率的23.9%(11/46),差异有统计学意义(χ^2=9.364,P<0.05);治疗组患者术后有效率为97.83%,相比78.26%的较参照组患者术后结果更为突出,差异有统计学意义(χ^2=9.352,P<0.05)。结论锁定钛板联合植骨手术治疗股骨远端粉碎性骨折的临床效果确切,可作为首选手术方案。Objective To investigate the clinical effect of locking titanium plate combined with bone grafting for the treatment of powdery fractures of the distal femur. Methods A total of 92 patients with femoral fractures of the distal femur who were treated in our hospital from July 2016 to July 2018 were enrolled as subjects. They were divided into reference groups according to different surgical procedures (anatomical plate combined with bone grafting treatment) and treatment group (locked titanium plate combined with bone graft surgery), and each group was divided into 46 cas-es, the clinical effects of all patients treated with different treatment methods were compared and analyzed, and sum-marized. Results The operation time, intraoperative blood loss and fracture healing time of patients with distal femoral fractures in the treatment group were significantly better than the reference group. The differences were statistically sig-nificant (t =4.325、4.016、4.364, P <0.05). The total incidence of postoperative complications in patients with distal femoral fractures in the treatment group was 2.17%(1/46), which was significantly lower than the total incidence of postoperative complications in patients with focal fractures of the distal femur 23.91%(11/40), the difference was sta-tistically significant(χ2 =9.364, P<0.05). The effective rate of the treatment group was 97.83%, compared with 78.26% of the reference group. The results were more prominent and the difference was statistically significant(χ^2 =9.352, P<0.05). Conclusion The clinical effect of locking titanium plate combined with bone grafting for the treatment of comminuted femoral fracture is accurate and can be used as the preferred surgical plan.

关 键 词：锁定钛版联合植骨手术 股骨远端粉粹性骨折 效果 

分 类 号：R687.3[医药卫生—骨科学]