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锁定钢板内固定并植骨治疗复杂胫骨平台骨折的疗效分析

杨建惠 吴武 牟朋林

中国医学创新Issue(5):19-20,21,3.
中国医学创新Issue(5):19-20,21,3.DOI:10.3969/j.issn.1674-4985.2014.05.009

锁定钢板内固定并植骨治疗复杂胫骨平台骨折的疗效分析

Analysis on the Curative Effect of Locking Plate Internal Fixation and Bone Grafting in the Treatment of Complex Tibial Plateau ;Fractures

杨建惠 1吴武 1牟朋林1

作者信息

  • 1. 广东药学院附属第二医院 广东 广州 510300
  • 折叠

摘要

Abstract

Objective:To investigate the clinical effect of locking plate internal fixation and bone grafting in the treatment of complex tibial plateau fractures.Method:58 cases of complex tibial plateau fracture from February 2008 to February 2013 in our hospital were selected as research objects,38 cases were treated with locking plate internal fixation and bone grafting as the observation group,20 cases with conventional plate fixation as the control group.After operation,according to the types of fracture and fixation,early with CPM machine,knee joint external fixation support for functional exercise of knee joint.A mean follow-up of 15.4 months after the operation.The recovery of joint function and postoperative occurrence rate of complications of articular surface subsidence were compared between the two groups after treatment.Result:The excellent and good rate of knee scores in the observation group was 86.8%,it was significantly higher than the 70.0%of control group,and articular surface subsidence and other complications were no appeared, while the control group,the complication rates were significantly higher than the observation group,the differences were statistically significant(P<0.05). Conclusion:Locking plate internal fixation and bone grafting in the treatment of complex tibial plateau fractures has a good effect,the cure rate is high, knee joint function of patients recovered well,and low morbidity,is worthy of clinical promotion.

关键词

锁定钢板内固定/植骨/胫骨平台骨折

Key words

Locking plate internal fixation/Bone graft/Tibial plateau fractures

引用本文复制引用

杨建惠,吴武,牟朋林..锁定钢板内固定并植骨治疗复杂胫骨平台骨折的疗效分析[J].中国医学创新,2014,(5):19-20,21,3.

中国医学创新

1674-4985

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