单侧多功能外固定支架固定与加压钢板内固定治疗胫骨骨折疗效对比分析
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摘要
目的对比单侧多功能外固定支架治疗与内固定治疗胫骨骨折的临床疗效。方法选取我院2009年3月～2010年3月收治的114例胫骨骨折患者为治疗组,采用切开复位单侧多功能外固定支架治疗,设同期收的采用加压钢板内固定治疗63例为对照组,对比2组患者手术时间、手术切口长度,术后骨愈合情及术后并发症发生情况。结果 2组患者随访4～18月,治疗组手术时间、手术切口长度、骨折愈合时间、并发症均低于对照组,组间比较有显著差异(P<0.05)。结论单侧多功能外固定架治疗胫腓骨新鲜骨折疗效显著,临床应推广应用。
Objective To compare the efficacy between unilateral external fixation and compression plate fixation in the treatment of tibial fractures.Methods A total of 114 patients with tibial fractures who were treated in our hospital between March 2009 and March 2010 were included in the treatment group.They received unilateral external fixation and compression plate fixation.Another 63 patients with tibial fractures during the same period who were treated with compression plate fixation were included in the control group.The surgery duration,incision length,postoperative bone healing and complications of two groups were compared.Results The surgery duration,incision length,fracture healing time and complications of the treatment group were lower than those of the control group after a follow-up of 4 to 18 months.The difference was statistically significant between groups(P<0.05).Conclusion Unilateral external fixation has noticeable effect in treating tibia and fibula of fresh fractures.It is worthy of clinical application.
Objective To compare the efficacy between unilateral external fixation and compression plate fixation in the treatment of tibial fractures.Methods A total of 114 patients with tibial fractures who were treated in our hospital between March 2009 and March 2010 were included in the treatment group.They received unilateral external fixation and compression plate fixation.Another 63 patients with tibial fractures during the same period who were treated with compression plate fixation were included in the control group.The surgery duration,incision length,postoperative bone healing and complications of two groups were compared.Results The surgery duration,incision length,fracture healing time and complications of the treatment group were lower than those of the control group after a follow-up of 4 to 18 months.The difference was statistically significant between groups(P<0.05).Conclusion Unilateral external fixation has noticeable effect in treating tibia and fibula of fresh fractures.It is worthy of clinical application.
引文
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[7]陈玉婷.锁定加压钢板内固定治疗胫腓骨骨折的围手术期护理[J].海南医学院学报,2010,16(1):113.
[8]刘红光,吴小涛,张文捷.延期有限切开复位内固定结合外固定支架治疗严重胫骨Pilon骨折[J].实用临床医药杂志,2010,14(23):35.
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[2]楚宇鹏,孔建中,牟暇平,等.交锁髓内钉与LCP内固定治疗胫骨远端骨折的放射学及临床疗效比较[J].中国骨与关节损伤杂志,2010,25(12):1080.
[3]廖保强,邓墨渊,傅亚,等.力生长因子对兔桡骨骨折愈合的作用[J].中国组织工程研究与临床康复,2010,14(2):245.
[4]鲜成玉,王远亮,张兵兵,等.机械拉伸对成骨细胞增殖及IGF-1mRNA表达的影响[J].生物医学工程学杂志,2007,24(2):312.
[5]丘俊,陈海斌,初同伟,等.局部血管生成因子的表达与骨折愈合过程中不同压应力的变化[J].中国临床康复,2006,10(5):56.
[6]赵航,徐雪荣.手术治疗陈旧性结构不稳性胫骨平台骨折的疗效分析[J].海南医学院学报,2010,16(10):1323.
[7]陈玉婷.锁定加压钢板内固定治疗胫腓骨骨折的围手术期护理[J].海南医学院学报,2010,16(1):113.
[8]刘红光,吴小涛,张文捷.延期有限切开复位内固定结合外固定支架治疗严重胫骨Pilon骨折[J].实用临床医药杂志,2010,14(23):35.
[9]戚文元,周荣魁.切开复位内固定治疗胫骨平台骨折临床疗效观察[J].实用临床医药杂志,2010,14(21):115.