胫骨远端骨折患者行锁定加压钢板和外固定架实践与评估.docVIP

胫骨远端骨折患者行锁定加压钢板和外固定架实践与评估 　　[摘要] 目的 研究胫骨远端骨折患者行锁定加压钢板和外固定架的临床效果，探讨其临床适用性。方法 选取2012年6月～2015年6月在我院骨科就诊的36例胫骨远端骨折患者为研究对象，按照随机原则分为对照组和实验组，各18例。实验组采取锁定加压钢板固定治疗，对照组采取外固定架固定治疗，治疗后，比较两组患者骨折的愈合情况、扭转角度、轴向位移与抗弯应力等，比较两组患者的治疗总有效率和并发症发生情况。结果 两组的扭转角度差异无统计学意义（P0.05），实验组的轴向位移与抗弯应力明显低于对照组，差异有统计学意义（P0.05）。对照组患者总有效率为77.78%，明显低于实验组（94.44%），差异有统计学意义（χ2=4.43，P0.05）。对照组患者并发症发生率为33.33%，明显高于实验组（5.56%），差异有统计学意义（χ2=4.43，P0.05）。结论 与外固定架比较，采用锁定加压钢板治疗胫骨远端骨折的临床效果显著，并发症发生率低，值得临床推广应用。 　　[关键词]胫骨远端骨折；锁定加压钢板；并发症 　　[中图分类号] R683.42 [文献标识码] A [文章编号] 1674-4721（2017）03（a）-0106-03 　　[Abstract]Objective To study the clinical efficacy of locking compression plate and external fixator in patients with distal tibialfractures，and to explore its clinical applicability.Methods Thirty-six patients with distal tibial fractures visited department of orthopaedics in our hospital from June 2012 to June 2015 were selected as research objects.According to the principle of randomization，they were evenly divided into control group and experimental group.In the experimental group，locking compression plate for fixation was used，while in the control group，external fixator was adopted.After treatment，the healing situation，torsionangle，axial displacement and bending stress between two groups were compared.Inaddition，therapeutic total effective rate and incidence of complication between two groups were also compared.Results There was no significant difference in the twist angle between the two groups （P0.05）.The axial displacement and bending stress in the experimental group were significantly lower than those in the control group，with statistical differences （P0.05）.The total effective rate in the control group was 77.78%，and it was significantly lower than that in the experimental group accounting for 94.44%，which was displayed a statistical significance （χ2=4.43，P0.05）.The incidence rate of complication in the control group was 33.33%，ans it was higher than that in the experimental group accounting for 5.56%，with a statis