锁定加压钢板与有限接触动力加压钢板治疗胫骨干骨折后骨不连的效果及安全性比较  

Comparison of the efficacy and safety of locking compression plate and limited contact dynamic compression plate in the treatment of bone nonunion after tibial shaft fracture

作　　者：关铁汉 曹阳 GUAN Tie-han;CAO Yang(Department of Orthopedics,the First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,China)

机构地区：[1]锦州医科大学附属第一医院骨外科,121000

出　　处：《中国现代药物应用》2024年第7期43-45,共3页Chinese Journal of Modern Drug Application

摘　　要：目的比较锁定加压钢板(LCP)与有限接触动力加压钢板(LC-DCP)治疗胫骨干骨折后骨不连的效果及安全性。方法60例胫骨干骨折后骨不连患者,按照随机数字表法分为研究组与对照组,每组30例。对照组采用LCP内固定治疗,研究组采用LC-DCP内固定治疗。比较两组临床疗效、围术期指标、术后并发症发生率。结果研究组Johner-Wruhs评分优良率93.33%高于对照组的73.33%(P<0.05)。研究组住院时间(14.82±3.01)d、手术时间(124.21±6.15)min、骨折愈合时间(25.81±3.00)d短于对照组的(18.21±4.52)d、(145.84±7.10)min、(29.20±4.51)d,术后7 d视觉模拟评分法(VAS)评分(4.62±0.05)分低于对照组的(6.42±0.15)分(P<0.05)。研究组术后并发症发生率13.33%低于对照组的36.67%(P<0.05)。结论LC-DCP内固定在胫骨干骨折后骨不连中的临床治疗效果较好,能够显著促进患者骨结构恢复,减轻术后疼痛,改善预后,且治疗安全性和实用性较高。Objective To compare the efficacy and safety of locking compression plate(LCP)and limited contact dynamic compression plate(LC-DCP)in the treatment of bone nonunion after tibial shaft fracture.Methods A total of 60 patients with bone nonunion after tibial shaft fracture were divided into a study group and a control group according to random number table method,with 30 cases in each group.The control group was treated with LCP internal fixation,and the study group was treated with LC-DCP internal fixation.The clinical efficacy,perioperative indicators and postoperative complication rate of the two groups were compared.Results The excellent rate of Johner-Wruhs score of the study group was 93.33%,which was higher than 73.33%of the control group(P<0.05).The study group had hospitalization time of(14.82±3.01)d,operation time of(124.21±6.15)min and fracture healing time of(25.81±3.00)d,which were shorter than(18.21±4.52)d,(145.84±7.10)min and(29.20±4.51)d in the control group;the study group had lower visual analogue scale(VAS)score of(4.62±0.05)points 7 d after surgery than(6.42±0.15)points in the control group(P<0.05).The incidence of postoperative complications was 13.33%in the study group,which was lower than 36.67%in the control group(P<0.05).Conclusion The clinical treatment effect of LC-DCP internal fixation in bone nonunion after tibial shaft fracture is good,which can significantly promote the recovery of bone structure,reduce postoperative pain,improve prognosis,and the treatment is safe and practical.

关 键 词：锁定加压钢板 有限接触动力加压钢板 胫骨干骨折 骨不连 效果 

分 类 号：R687.3[医药卫生—骨科学]