锁定钢板内固定治疗胫骨平台骨折疗效分析  

Analysis of Clinical Efficacy of Locking Plate Internal Fixation in the Treatment of Tibial Plateau Fracture

作　　者：张善成[1] ZHANG Shancheng(Department of Orthopedics and Brain Surgery,Shangshui People’s Hospital,Zhoukou,Henan 466100,China)

机构地区：[1]商水县人民医院骨伤脑外科,河南周口466100

出　　处：《中国烧伤创疡杂志》2022年第1期42-46,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的探讨锁定钢板内固定治疗胫骨平台骨折的临床效果。方法选取2019年10月至2020年10月商水县人民医院收治的100例胫骨平台骨折患者作为研究对象,按照随机数表法将其随机分为观察组(50例)和对照组(50例),观察组患者行锁定钢板内固定治疗,对照组患者行双切口双钢板内固定治疗,对比两组患者术中出血量,骨折愈合时间,住院时间,完全负重时间,术后膝关节功能、Fugl⁃Meyer运动功能评定量表(FMA)下肢评分、生活质量以及创伤性关节炎、下肢深静脉血栓等并发症发生情况。结果观察组患者术中出血量明显少于对照组(t=12.190,P<0.001),骨折愈合时间、住院时间、完全负重时间明显短于对照组(t=4.369、6.194、3.701,P均<0.001);术后6个月,观察组患者膝关节功能为优者12例、良者35例、可者2例、差者1例,明显优于对照组患者的膝关节功能为优者10例、良者26例、可者9例、差者5例(Z=-2.027,P=0.043);术后6个月,观察组患者FMA下肢评分及生活质量各项评分均明显高于对照组(t=7.584、8.518、8.362、9.509、5.331、3.582,P均<0.001);观察组患者术后并发症发生率为4.0%,明显低于对照组患者的术后并发症发生率18.0%(χ^(2)=5.005,P=0.025)。结论给予胫骨平台骨折患者锁定钢板内固定治疗,可明显缩短术后恢复时间,提高肢体功能恢复效果及生活质量,降低并发症发生率。Objective To study the clinical efficacy of locking plate internal fixation in the treatment of tibial plat⁃eau fracture.Methods 100 patients with fracture of tibial plateau admitted to Shangshui People’s Hospital from October 2019 to October 2020 were enrolled as subjects of research,and divided,using random number table,into observation group(n=50)which received locking plate internal fixation,and control group(n=50)which received double⁃incision dual plate internal fixation.Intraoperative blood loss,healing time of fracture,length of stay,full weight⁃bearing time,post⁃operative knee function,Fugl⁃Meyer Assessment(FMA)lower extremity score,quality of life and occurrence of complica⁃tions such as traumatic arthritis and lower extremity deep vein thrombosis,were compared between the two groups.Results In observation group,the intraoperative blood loss was significantly less than control group(t=12.190,P<0.001),and the healing time of fracture,length of stay,and full weight⁃bearing time were significantly shorter than control group(t=4.369,6.194 and 3.701,all P<0.001).Six months after operation,the knee function were evaluated as excellent in cases,good in 35 cases,fair in 2 cases and poor in 1 case in observation group,which was significantly better than control group with excellent in 10 cases,good in 26 cases,fair in 9 cases and poor in 5 cases(Z=-2.027,P=0.043);moreo⁃ver,the FMA lower extremity scores and scores of quality of life scale in observation group were significantly higher than that in control group(t=7.584,8.518,8.362,9.509,5.331 and 3.582,all P<0.001).The occurrence of complications after operation in observation group was 4.0%,significantly lower than 18.0%in control group(χ^(2)=5.005,P=0.025).Conclusion Treating fracture of tibial plateau with locking plate internal fixation can significantly shorten the post⁃operative recovery time,improve the functional recovery effect of the affected limbs and patients’quality of life,and reduce the inci⁃dence of complications.

关 键 词：锁定钢板内固定 胫骨平台骨折 膝关节功能 下肢功能 生活质量 

分 类 号：R687.3[医药卫生—骨科学]