摘要
目的：探讨不同内固定方法对胫骨平台骨折的治疗效果。方法将40例胫骨平台骨折患者随机分为两组，每组20例，观察组使用微创内固定，对照组使用传统解剖钢板内固定，对比分析两组术后Matta评分和术后效果。结果观察组住院时间为（8.1±2.2） d，对照组为（16.3±2.2） d，两组比较差异有统计学意义（ t＝－13.6187，P＜0.05）；观察组骨折临床愈合时间及并发症出现率等优于对照组（P＜0.05）；术后观察组Matta功能评分结果显示优良率为90.0％，明显优于对照组。结论采用微创内固定手术疗法治疗胫骨平台骨折效果更明显，安全性高，在临床中的应用前景更广。
Objective To investigate the different fixation methods in treatment of tibial plateau fracture.Methods Forty cases with tibial plateau fractures were randomly divided into two groups, 20 patients using minimally invasive internal fixation as study group, 20 patients using traditional anatomical plate fixation as control group;the Matta scores and postoperative results of the two groups were analyzed. Results The hospital stays in the study group was （8.1 ±2.2） d, that in the control group was （16.3 ± 2.2） d, there was significant difference between the two groups （ t=-13.6187, P〈0.05）;fracture heal-ing time and complications rates in observation group were shorter or lower that those in control group（ P〈0.05）.Matta score after surgery showed good and excellent rate of observation group was 90.0%, which was significantly better than that of control group.Conclusions The effect of minimally invasive surgical therapy on internal fixation of tibial plateau fractures remission is more obvious, safe, and the application prospects in clinical is more wider.
出处
《中国实用医刊》
2015年第22期32-33,共2页
Chinese Journal of Practical Medicine
关键词
胫骨
平台骨折
微创内固定
Tibia
Plateau fractures
Minimally invasive fixation
