双切口双钢板内固定与单侧锁定钢板内固定治疗复杂胫骨平台骨折的效果比较(1)
【摘要】 目的：對比双切口双钢板内固定与单侧锁定钢板内固定治疗复杂胫骨平台骨折(complex tibial plateau fracture，CTPF)的效果。方法：选取2014年9月-2018年1月于本院进行治疗的58例复杂胫骨平台骨折患者作为研究对象，根据治疗方法的差异分为对照组和研究组，各29例。对照组采取双切口双钢板内固定治疗，研究组实施单侧锁定钢板内固定治疗。对比两组患者疼痛程度、手术相关指标、术后恢复情况。结果：术后3 d、10 d、1个月，研究组的VAS评分均低于对照组，差异均有统计学意义(P<0.05)。两组患者的手术时间、切口长度与术后出血量比较，差异均无统计学意义(P>0.05);而研究组的负重时间与愈合时间均短于对照组，差异均有统计学意义(P<0.05)。术后1个月，研究组HSS、BBS评分均明显高于对照组，差异均有统计学意义(P<0.05)。术后12个月，研究组的TPA与PA均明显优于对照组，差异均有统计学意义(P<0.05)。结论：针对复杂胫骨平台骨折患者，双切口双钢板内固定与单侧锁定钢板内固定治疗均能够取得较为理想的效果，但单侧锁定钢板内固定治疗在负重时间与愈合时间上均优于双切口双钢板内固定治疗，且患者疼痛情况较低，膝关节功能和活动度较为理想，值得应用。
【关键词】 双切口双钢板; 单侧锁定钢板; 复杂胫骨平台骨折
【Abstract】 Objective：To compare the effect of internal fixation with double incision double plate and unilateral locking plate in complex tibial plateau fracture(CTPF).Method：58 patients with complex tibial plateau fractures who were treated in our hospital from September 2014 to January 2018 were selected as the research objects.According to the difference of treatment methods，the patients were divided into control group and study group，29 cases in each group.The control group was treated with double incision double plate，the study group was treated with unilateral locking plate.The pain degree，surgical indicators and postoperative recovery were compared.Result：At 3 d，10 d and 1 month after surgery，VAS scores in the study group were lower than those in the control group，the differences were statistically significant(P<0.05).There were no significant differences in the operative time，incision length and postoperative blood loss between the two groups(P>0.05);the loading time and healing time in the study group were both shorter than those in the control group，with statistically significant differences(P<0.05).1 month after surgery，HSS and BBS scores of the study group were significantly higher than those of the control group，the differences were statistically significant(P<0.05).12 months after surgery，TPA and PA in the study group were significantly better than those in the control group，the differences were statistically significant(P<0.05).
Conclusion：Both of the therapies have the favorable effect in CTPF patients，however，the unilateral locking plate can better shorten the weight-loading time and healing time，relieve the pain degree and improve the knee joint function and range of motion.It is worthy of application.
【Key words】 Double incision double plate; Unilateral locking plate; Complex tibial plateau fracture, 百拇医药(黄科 韩成龙 温洪鹏)
【关键词】 双切口双钢板; 单侧锁定钢板; 复杂胫骨平台骨折
【Abstract】 Objective：To compare the effect of internal fixation with double incision double plate and unilateral locking plate in complex tibial plateau fracture(CTPF).Method：58 patients with complex tibial plateau fractures who were treated in our hospital from September 2014 to January 2018 were selected as the research objects.According to the difference of treatment methods，the patients were divided into control group and study group，29 cases in each group.The control group was treated with double incision double plate，the study group was treated with unilateral locking plate.The pain degree，surgical indicators and postoperative recovery were compared.Result：At 3 d，10 d and 1 month after surgery，VAS scores in the study group were lower than those in the control group，the differences were statistically significant(P<0.05).There were no significant differences in the operative time，incision length and postoperative blood loss between the two groups(P>0.05);the loading time and healing time in the study group were both shorter than those in the control group，with statistically significant differences(P<0.05).1 month after surgery，HSS and BBS scores of the study group were significantly higher than those of the control group，the differences were statistically significant(P<0.05).12 months after surgery，TPA and PA in the study group were significantly better than those in the control group，the differences were statistically significant(P<0.05).
Conclusion：Both of the therapies have the favorable effect in CTPF patients，however，the unilateral locking plate can better shorten the weight-loading time and healing time，relieve the pain degree and improve the knee joint function and range of motion.It is worthy of application.
【Key words】 Double incision double plate; Unilateral locking plate; Complex tibial plateau fracture, 百拇医药(黄科 韩成龙 温洪鹏)