L型解剖锁定钢板与锁定钢板内固定术在胫骨中下段骨折患者中的临床应用效果  

Clinical application of L-shaped anatomic locking plate and locking plate internal fixation in patients with middle and lower tibial fractures

作　　者：李付彬 高士杰 武永东[1] 武晔[1] 魏金栋[1] LI Fu-bin;GAO Shi-jie;WU Yong-dong;WU Ye;WEI Jin-dong(Department of Trauma and Orthopedics,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou 061000,Hebei,China)

机构地区：[1]河北省沧州中西医结合医院创伤骨科,河北沧州061000

出　　处：《川北医学院学报》2023年第9期1241-1245,共5页Journal of North Sichuan Medical College

基　　金：河北省沧州市重点研发计划自筹项目(204106045)。

摘　　要：目的:探讨L型解剖锁定钢板与锁定加压钢板内固定术(LCP)在胫骨中下段骨折的临床应用效果。方法:选取112例胫骨中下段骨折病人为研究对象,按照手术方式不同分为LCP组和L型锁定组,每组各56例。比较两组患者手术情况、患肢骨折端疼痛程度、血液流变学、踝关节功能和术后并发症。结果:L型锁定组切口愈合、骨痂形成及骨折愈合的时间均短于LCP组(P<0.05);术后3 d及7 d,L型锁定组的VAS评分低于LCP组(P<0.05);术后7 d,两组患者血液流变学指标均低于术前(P<0.05),且L型锁定组低于LCP组(P<0.05);术后3个月,L型锁定组的踝关节优良率高于LCP组(P<0.05),并发症总发生率低于LCP组(P<0.05)。结论:L型解剖锁定钢板治疗胫骨中下段骨折更能促进术后恢复,改善术后疼痛、血液流变学和踝关节功能,减少术后并发症。Objective:To explore the clinical application effect of L-shaped anatomic locking plate and locking compression plate internal fixation(LCP)in middle and lower tibial fractures.Methods:112 patients with middle and lower tibial fractures were selected as the research subjects and divided into LCP group and L-shaped locking group according to different surgical methods,with 56 patients in each group.The surgical status,pain degree at the fracture end of the affected limb,hemorheology,ankle function recovery and postoperative complications were compared between the two groups.Results:The wound healing time,callus formation time and fracture healing time in L-shaped locking group were shorter than those in LCP group(P<0.05),and the VAS scores at 3 and 7 d after surgery were lower than those in LCP group(P<0.05).At 7 days after surgery,the hemorheological indicators in both groups were lower than those before surgery(P<0.05),and the indicators in L-shaped locking group were lower than those in LCP group(P<0.05).3 months after surgery,the excellent and good rate of ankle joint in L-shaped locking group was higher compared with that in LCP group(P<0.05),and the total incidence rate of complications was lower than that in LCP group(P<0.05).Conclusion:L-shaped anatomic locking plate in treating middle and lower tibial fractures can promote the postoperative recovery,improve the the postoperative pain,hemorheology and ankle function,and reduce the postoperative complications.

关 键 词：L型解剖锁定钢板 锁定钢板内固定术 胫骨中下段骨折 术后疼痛 骨折愈合 

分 类 号：R683.42[医药卫生—骨科学] R681.8[医药卫生—外科学]