股骨远端锁定钛板固定联合植骨手术治疗股骨远端粉碎性骨折的临床效果研究.docxVIP

股骨远端锁定钛板固定联合植骨手术治疗股骨远端粉碎性骨折的临床效果研究 宋小强曾本强陈伟胡兵(四川省成都市温江区人民医院610031) 【摘要】目的 探讨锁定钛板联合植骨手术治疗股骨远端粉碎性骨折的临床效果。 方法 回顾性分析我院自2009年11月?2011年11月收治的108例股骨远端骨 折患者的临床资料，根据患者骨折的情况选择不同的固定装置，分为锁定钛板固 定联合植骨手术治疗组(试验组，58例)、AO解剖钢板联合植骨手术治疗组(对 照组，50例)，分析两组患者手术时间、出血量、骨折愈合时间及膝关节的功能 等进行统计学分析，比较两组治疗效果。结果 所有患者术后随访6?30个月， 试验组与对照组患者的手术时间、出血量比较差异无统计学意义(Pgt；0.05)； 两组愈合时间分别为(22.57plusmn;1.98) W、(25.13plusmn;1.56) W,差异 有统计学意义(Plt;0.05);两组膝关节功能优良率分别为91.38%、76.00%,差 异有统计学意义(Plt;0.05)o结论 锁定钛板固定联合植骨手术治疗股骨远端 粉碎性骨折取得较好的临床治疗效果，植骨手术操作简单，安全性较高，可以减 轻患者的经济负担，是临床上值得推广的股骨远端粉碎性骨折的最佳治疗手段。 【关键词】股骨远端粉碎性骨折锁定钛板固定植骨手术AO解剖钢板 【中图分类号】R687【文献标识码】A【文章编号】2095-1752 (2012) 31-0143-02 Treatment of comminuted fractures of distal end of the femur with locking plate fixation and bone graft surgery Song Xiaoqiang Zeng Benqiang Chen Wei Hu Bing the Peoples Hospital of Wenjiang district, Chengdu City, Sichuan Provinee, (610031) [Abstract] Objective To summarizes clinical curative effect of the femur with locking plate fixation and bone graft surgery for distal femoral shattered fractures. Methods Analysis of our hospital from November 2009 to November 2011 that of 108 cases distal femoral fractures, according to the patients to choose a different fracture fixation devices, divided into locking plate fixation with bone graft surgery group(test group, 58 cases), AO an atomical plate bone graft surgery combined treatment group(control group, 50 patients), two groups were analyzed operative time, blood loss, fracture healing and knee function of statistical analysis. Results All patie nts were followed up for 6 to 30 mon ths, the two groups with operative time, blood loss has no sign讦icant difference(Pgt;0?05); two healing time was (22.57plusmn;1.98)W, (25.13plusmn;1.56)W, significant difference(Plt;0.05), excellent knee function two groups were 91.38%、76.00%, the differenee was significant(Plt;0.05). Conclusions Locking plate fixation with bone graft surgery for distal femoral fractures to achieve better clinical outcomes, graft simple