摘要
目的 探讨有限内固定结合外固定支架与双侧钢板在胫骨平台骨折（schatzkerⅤ、Ⅵ型）治疗中的应用及其疗效。方法 在河南省洛阳正骨医院2010年6月-2013年6月间采用有限内固定结合外固定支架（观察组）和双侧钢板内固定（对照组）治疗胫骨平台骨折（schatzkerⅤ、Ⅵ型）的患者中抽取了60例：观察组与对照组各30例。观察组随访12~32个月,平均23个月;对照组随访10~29个月,平均19个月。结果 两组在平均手术时间、平均术中出血量、平均骨折愈合时间等方面差异有统计学意义（P〈0.05）,观察组优于对照组。两组间比较在Merchant评分方面差异无统计学意义（χ2=0.95,P〉0.05）。结论 两种方法均可治疗胫骨平台骨折（SchatzkerⅤ、Ⅵ型）,功能恢复佳,疗效满意。笔者经过对本院病例资料的分析和实际情况,认为有限内固定结合外固定支架是目前治疗胫骨平台骨折（SchatzkerⅤ、Ⅵ型）较为理想的治疗方式,尤其适用于骨折合并有严重的软组织损伤与缺损患者及陈旧性骨折病例。
【Objective】To explore the application and therapeutic effects of limited internal fixation combined with external fixation and bilateral inside-fixed steel treatments on tibial plateau fractures with types of schatzker Ⅴand Ⅵ. 【Methods】In total of sixty cases with tibial plateau fractures of schatzker Ⅴ and Ⅵ types in our hospital from June, 2010 to June 2013, who received the treatments of limited internal fixation combined with external fixation（treatment group, 30 cases） and the bilateral inside-fixed steel（control group, 30 cases）, were collected. In the treatment group, 17 were males and 13 were females, aged 19~51 years with the average age of（34.63±9.72） years,and the follow-up duration was 12~32 months with the average of 23 months. In the control group, 18 were males and 12 were females, aged 19~53 years with the average age of（35.87±9.96） years, and the follow-up duration was10~29 months with the average of 19 months. 【Results】There were significant differences in average surgery time,average bleeding amount during surgery and average fracture healing time between the two groups（P〈0.05）, with the effects of treatment group better than those of the control group. However, there was no significant difference of the Merchant scores between the two groups（χ2=0.95, P〉0.05）. 【Conclusions】Both treatments for the tibial plateau fractures with types of schatzkerⅤ and Ⅵ have good function recovery and satisfactory therapeutic effects. Combined with the data analysis and the real situation in our hospital, a combined treatment with limited internal fixation and external fixation is a rather satisfactory treatment for the tibial plateau fractures with types of schatzker Ⅴand Ⅵ, especially suitable for the cases of fractures complicated with serious soft tissue injuries and deficits, and old fractures.
出处
《中国现代医学杂志》
CAS
北大核心
2015年第3期79-82,共4页
China Journal of Modern Medicine
关键词
胫骨平台骨折
外支架
内固定
tibial plateau fracture
external fixation
internal fixation
