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双切口双钢板内固定术与单侧锁定钢板内固定术治疗复杂胫骨平台骨折患者的效果比较 被引量:4

Comparison of effects of double incision double plate internal fixation and unilateral locking plate internal fixation in treatment of patients with complex tibial plateau fractures
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摘要 目的:比较双切口双钢板内固定术与单侧锁定钢板内固定术治疗复杂胫骨平台骨折患者的效果。方法:回顾性分析2018年1月至2019年12月该院收治的96例复杂胫骨平台骨折患者的临床资料,按照治疗方法不同分为对照组和观察组各48例。对照组实施单侧锁定钢板内固定术治疗,观察组实施双切口双钢板内固定术治疗,比较两组手术相关指标水平、胫骨平台内翻角和后倾角、美国特种外科医院膝关节功能(HSS)评分及并发症发生率。结果:两组手术时间、术中出血量、切口长度比较,差异均无统计学意义(P>0.05);观察组骨愈合时间、负重时间均长于对照组,差异有统计学意义(P<0.05);术后6个月,观察组胫骨平台内翻角、后倾角均大于对照组,差异有统计学意义(P<0.05);术后3、6个月,观察组HSS评分均高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:双切口双钢板内固定术治疗复杂胫骨平台骨折患者,提高胫骨平台内翻角、后倾角及HSS评分的效果优于单侧锁定钢板内固定术治疗,但会延长骨愈合时间和负重时间。 Objective: To compare effects of double incision double plate internal fixation and unilateral locking plate internal fixation in treatment of patients with complex tibial plateau fractures. Methods: The clinical data of 96 patients with complex tibial plateau fractures admitted from January 2018 to December 2019 were retrospectively analyzed. According to the treatment methods, they were divided into control group and observation group, 48 cases in each group. The control group was treated with unilateral locking plate internal fixation, while the observation group was treated with double incision double plate internal fixation. The operation-related indicator levels, the postoperative rehabilitation exercise time,the tibial plateau varus angle, the posterior slope angle, the hospital for special surgery(HSS) score, the incidence of complications were compared between the two groups. Results: There were no significant differences in the operation time, the blood loss and the incision length between the two groups(P>0.05). The bone healing time and the weight-bearing time of the observation group were longer than those of the control group, and the differences were statistically significant(P<0.05). 6 months after the surgery, the tibial plateau varus angle and the posterior slope angle in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). 3 and 6 months after the surgery, the HSS scores of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05).However, there was no significant difference in the incidence of complications between the two groups(P>0.05). Conclusions: Double incision double plate internal fixation in the treatment of the patients with complex tibial plateau fractures is superior to unilateral locking plate internal fixation for the patients with complex tibial plateau fractures in the terms of increased varus angle and posterior slope angle as well as th
作者 冯慧峰 孙留涛 FENG Huifeng;SUN Liutao(Department of Orthopedics of Zhumadian Duanzhuang Sunquangui Orthopedic Hospital,Zhumadian 463000 Henan,China)
出处 《中国民康医学》 2022年第19期143-146,共4页 Medical Journal of Chinese People’s Health
关键词 复杂胫骨平台骨折 双切口双钢板内固定术 单侧锁定钢板内固定术 内翻角 后倾角 并发症 Complex tibial plateau fracture Double incision double plate internal fixation Unilateral locking plate internal fixation Varus angle Posterior slope angle Complication
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