不同的方法治疗胫骨平台骨折临床效果分析.docVIP

不同的方法治疗胫骨平台骨折临床效果分析 　　[摘要] 目的：比较分析双切口双钢板与锁定钢板内固定治疗胫骨平台骨折的疗效。方法：回顾性分析我院82例胫骨平台骨折患者的临床资料，其中应用双切口双钢板治疗41 例，锁定钢板内固定治疗41例，比较两种治疗方法在骨折愈合时间、胫骨平台内翻角（TPA）及后倾角（PA）等方面的差异情况。结果：两组患者术后即刻、术后6个月、术后12个月，两组胫骨平台内翻角及平台后倾角度数差异均无统计学意义（P＞0.05）。进一步比较分析发现：切口双钢板治疗组患膝关节活动度及术后12个月患膝关节HSS值均高于锁定钢板内固定治疗组（t=0.79，2.23），但差异无统计学意义（P＞0.05）；而骨折愈合时间双切口双钢板治疗组长于锁定钢板内固定治疗组（t=1.09），但差异无统计学意义（P＞0.05）。结论：锁定钢板内固定治疗胫骨平台骨折与双钢板固定所提供的力学稳定性相似，临床治疗效果相近。 　　[关键词] 胫骨平台骨折；双切口双钢板内固定；锁定钢板内固定 　　[中图分类号] R683.42 [文献标识码] Ａ [文章编号] 1673-7210（2011）11（a）-036-03 　　 　　Analysis of clinical effect about two internal fixation of tibial plateau fracture 　　WEI Renjie, WEI Shoufan, LU Changwei, LUO Guofu 　　Department of Orthopaedics, the People′s Hospital of Hechi City, Guangxi Zhuang Autonomous Region, Hechi 547000, China 　　[Abstract] Objective: To compare the clinical effect of double-incision double-plate and locking plate fixation for tibial plateau fracture. Methods: Clinical data of 82 patients with tibial plateau fractures in our hospital were retrospectively analyzed, included application of double-incision double-plate fixation in 41 cases, locking plate fixation in 41 cases. Two treatment methods clinical effect differences in fracture healing time, Tibial plateau angle (TPA), posterior slope angle (PA) and other aspects were compared. Results: The tibial plateau angle and posterior slope angle degree of patients in both groups immediately, 6 months and 12 months after operation were not significantly statistical different (P＞0.05). Further analyzed revealed that the activity, HSS after 12 months of suffering knee in Incision double-plate fixation group were higher than thelocking plate fixation group (t=0.79, 2.23), but the difference was not statistically significant(P＞0.05), and healing time of two-incision treatment group were longer than the two-plate locking plate fixation group (t=1.09), the difference was not statistically significant(P＞0.05). Conclusion: The locked plate fixation of tibial plateau fractures a