原创《锁定钢板内固定治疗复杂胫骨平台骨折疗效》：本论文为您写胫骨毕业论文范文和职称论文提供相关论文参考文献，可免费下载。
[摘 要] 目的 探讨锁定钢板内固定治疗复杂胫骨平台骨折的疗效.方法 方便选取该院2013年1月—2016年10月间收治的138例复杂胫骨平台骨折患者随机分为两组.对照组69例采用普通钢板内固定治疗,而治疗组69例采用锁定钢板内固定治疗.比较两组临床疗效、膝关节功能评分的差异,并评价其生活质量及治疗满意度情况.结果 治疗组临床优良率为94.2%高于对照组81.2%,比较差异有统计学意义（P<0.05）；手术后4周、手术后8周治疗组膝关节功能评分升高,并呈逐渐升高的趋势,也高于同期对照组,比较差异有统计学意义（P<0.05）；治疗组治疗满意率为92.8%高于对照组79.7%,比较差异有统计学意义（P<0.05）.结论 锁定钢板内固定治疗复杂胫骨平台骨折效果佳,临床优良率高、膝关节功能恢复好、生活质量也较高,治疗满意度也较好,进而促进患者早期康复,值得临床选择.
[关键词] 锁定钢板内固定；复杂性；胫骨平台骨折；疗效
[中图分类号] R683.42 [文献标识码] A [文章编号] 1674-0742（2017）03（b）-0114-03
[Abstract] Objective To investigate the curative effect of locking plate fixation for the treatment of complex tibial plateau fractures. Methods 138 cases of complex tibial plateau fractures in our hospital were conveniently selected and divided into two groups. The control group of 69 patients with common plate fixation, and 69 cases in the treatment group were treated with locking plate internal fixation treatment. Compared two groups of clinical effect of differences in knee function score, and evaluate the quality of life and satisfaction with treatment. Results Clinical in the treatment group, the excellent rate was 94.2% higher than 81.2% in the control group, compared with statistical difference（P<0.05）； 4 weeks after surgery, 8 weeks of treatment of knee joint function after surgery group was significantly increased, and increased gradually the trend, also higher than those in the control group, compared with statistical difference（P<0.05）； the treatment group satisfaction rate was 92.8% higher than 79.7% in the control group, compared with statistical difference（P<0.05）. Conclusion Locking plate fixation of complex tibial plateau fracture clinical effect is good, excellent high rate of knee joint function, quality of life is higher, better treatment satisfaction, and promote early the rehabilitation of patients, worthy of clinical choice.
[Key words] Locking plate internal fixation； Complexity； Tibial plateau fracture； Curative effect
脛骨平台骨折是临床上常见的骨折类型之一,其多因直接暴力或间接暴力引起[1-2],若诊断和治疗不及时,则易引起膝关节不稳定,甚至创伤性关节炎等,尤其是复杂性胫骨平台骨折.以往临床上常采用常规钢板空心钉内固定治疗复杂性胫骨平台骨折,但易引起复位后移位,进而导致骨折不愈合或畸形.而锁定钢板内固定是一种新型内固定方法,对复杂性胫骨平台骨折效果也较为理想.该研究方便选取2013年1月—2016年10月间138例复杂胫骨平台骨折患者,探讨锁定钢板治疗复杂胫骨平台骨折的疗效,现报道如下.
1 资料和方法
1.1 一般资料
方便选取该院收治的138例复杂胫骨平台骨折患者随机分为两组；治疗组69例,男性34例,女性35例；年龄18～70岁,平均（41.6±4.9）岁；Schatzker骨折类型：V型45例,VI型24例；对照组69例,男性36例,女性33例；年龄19～71岁,平均（41.7±4.8）岁；Schatzker骨折类型：V型43例,VI型26例；纳入标准：①均符合胫骨平台骨折诊断标准[3]；②无严重脏器功能障碍者；③均签署手术同意书；④无凝血功能障碍者；⑤无神经损伤者.排除标准：①严重脏器功能障碍者；②伴有神经损伤者；③伴有病理性骨折者；④未签署手术同意书.两组在年龄、性别等方面差异无统计学意义（P<0.05）,具有可比性.
胫骨论文参考资料：
结论：锁定钢板内固定治疗复杂胫骨平台骨折疗效为关于对写作胫骨论文范文与课题研究的大学硕士、相关本科毕业论文胫骨骨折一般愈合时间论文开题报告范文和相关文献综述及职称论文参考文献资料下载有帮助。
