AO 特殊钢板与传统钢板在肢体近关节骨折中应用的比较.pdfVIP

解放军医药杂志2015年4月 第27卷 第4期 Med PharmJ Chin PLA,Vol.27,No.4,Apr.2015 ·37 · ·论著 · AO特殊钢板与传统钢板在肢体近关节骨折中应用的比较 王明远 　 　 [摘要]　 目的　 比较 AO 型特殊钢板与传统钢板在治疗肢体近关节骨折中的疗效差异。 方法　 回顾性分析 2011年2月—2013年8月收治的200例肢体近关节骨折患者的临床资料及随访资料,分为AO特殊钢板组(AO组) 和传统钢板组(传统组)各100例,比较两组患者的术后住院情况、术后并发症及疗效差异。 结果　 AO组手术时间、 住院时间、骨折愈合时间、固定松动率均显著的低于传统组(P 0．05);术后第6、9、12个月AO组骨关节功能评分均 显著高于同期传统组(P0．05);末次随访AO组的骨关节功能评定优良率显著高于传统组(P 0．05)。 结论　 AO 型特殊钢板较传统钢板在治疗肢体近关节骨折方面具有能够缩短住院时间、促进患者关节功能恢复等优势。 　 　 [关键词]　 骨折固定术;内固定器;骨折;功能恢复 [中国图书资料分类号]　 R687.3　 　 [文献标志码]　 A　 　 [文章编号]　 2095-140X(2015)04-0037-03 [DOI]　 10.3969/ j.issn.2095-140X.2015.04.010 A Comparisonof AOSpecial Steel PlatesandTraditional PlatesinTreatment ofJuxta-articularFracture of Limbs WANG Ming-yuan (Department of Orthopaedics,the Peoples Hospital of Qinghai Province,Xining810007,China) [Abstract]　 Objective　 To compare curative effects of AO special plates and traditional steel plates in treatment ofjuxta-articular fracture of limbs. Methods　 Clinical andfollow-up data of200 patientswithjuxta-articular fracture of limbs during February 2011 and August 2013 was retrospectively analyzed. The patients were divided into AO special steel platesgroup (AOgroup,n=100)andtraditionalsteelplatesgroup (traditionalgroup,n=100),andpostoperative hospitalization,complications and curative effect in the two groups were compared. Results　 The values of operation time,length ofhospitalstay,fracturehealingtimeandfixedlooserateintheAOgroupweresignificantlylowerthanthose th th th in the traditional group (P0．05). Thejoint function scores in6 ,9 and 12 month after the operation in AOgroup were significantlyhigherthanthoseinthetraditionalgroupatthesameperiod (P0．05). Thefinerateofjointfunction during the last follow-up period in the AO group was significantly higher than that in the traditio