摘要
目的回顾性评价可吸收螺钉和金属内固定治疗胫骨平台骨折的临床疗效。方法收治57例胫骨平台骨折患者,骨折按Schatzker分型,其中Ⅰ型15例,Ⅱ型21例,Ⅲ型9例,Ⅳ型12例,采用可吸收螺钉(A组)、空心拉力螺钉(B组)、髁支撑钢板(C组)内固定治疗。随访6～51个月,对骨折愈合情况、膝关节功能恢复情况行统计比较。结果本组患者全部获得骨性愈合,功能评价按Merchant膝关节功能评分法,A组优良率为84%(16/19),B组优良率为92%(11/ 12),C组优良率为85%(22/26),三组之间差异无统计学意义。结论可吸收螺钉治疗胫骨平台骨折,能取得和金属内固定装置一样的复位、固定效果,只要适应证掌握适当,其具有微创、并发症少、免除二次手术的优点。
Objective To assess the effectiveness of absorbable screws and metallic devices for treating tibial plateau fractures. Methods Fifty-seven cases of tibial plateau fractures were treated with internal fixation using absorbable screws （ Group A）, cannulated screws （ Group B） and condylar buttress plates （Group C） in our hospital. According to Schatzker classification, there were 15 cases with type Ⅰ fractures, 21 with type Ⅱ, nine with type Ⅲ and 12 with type Ⅳ, who were followed up for 6-51 months. Statistical analysis was performed to compare bone union and functional restoration of the knee between three groups. Results Bone union was achieved in all cases. Based on Merchant scale for knee function, excellence rate was 84 % （16/19） for Group A, 92 % （11/12） for Group B and 85 % （22/26） for Group C, with no significant statistical difference. Conclusion Absorbable screws is as effective as metallic devices for treating tibial plateau fractures and has advantages of minimal invasion, few complications and avoiding secondary operation.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2006年第7期506-509,共4页
Chinese Journal of Trauma
关键词
胫骨骨折
内固定器
膝关节
Tibial fractures
Internal fixator
Knee joint
