Clinical research of locking plate fixation for treatment of tibial plateau fracture
- VernacularTitle:锁定钢板内固定治疗复杂胫骨平台骨折的临床研究
- Author:
Songnan HAO
1
Author Information
1. 哈尔滨市第五医院骨九科
- Keywords:
Complex tibial plateau fractures;
Locking plate fixation;
Complication
- From:
China Modern Doctor
2015;(10):50-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of locking plate fixation in treatment of complex tibial plateau fractures. Methods A total of 100 patients with tibial plateau fracture from June 2011 to June 2014 in our hospital as the re-search objects, all the patients were divided into group A and group B, 50 cases in each group, 50 cases were treated with locking plate fixation from June 2013 to June 2014, establishment of group A in our hospital, 50 cases were treated with normal anatomic plate internal fixation from June 2011 to June 2012 as group B, the curative effect and operation indicators, complications were observed and compared between the two groups after treatment. Results The excellent and good rate was 86% in group A, the excellent and good rate was 72% in group B, the difference was statistically significant between two groups (P<0.05). The amount of bleeding during the operation of group A was lower than that in group B, but fracture healing time of group A was shorter than group B, the incidence of postoperative complications of group A was lower than that in group B, the difference was statistically significant (P<0.05 or P<0.01). But compared the operation time between group A and group B, the difference was not significant (P>0.05). The two groups of each one case had local skin infection, after dressing and using sensitive antibiotics were cured; Two cases in group B after incision exudation, delayed healing, due to fat liquefaction or artificial bone reaction, and was cured after changed the dressing; Group B had one case of delayed healing, one case of screw loosening occurred fracture, but no impact on fracture healing. Conclusion With plate fixation in the treatment of complex tibial plateau lock, can significantly im-prove the knee joint function of patients, Less bleeding, fewer complications, fast fracture healing is worthy of promo-tion and application.
