改良双切口锁定钢板治疗复杂胫骨平台骨折的临床疗效

王海洋; 葛武; 吕增亮; 毕正宾

doi:10.13898/j.cnki.issn.1000-2200.2017.05.020

改良双切口锁定钢板治疗复杂胫骨平台骨折的临床疗效

The clinical efficacy of modified double incision locking plate in the treatment of complex tibial plateau fractures

摘要

摘要: 目的：探讨改良双切口锁定钢板治疗复杂胫骨平台骨折的临床疗效及术后Merchant膝关节功能评分情况。方法：采用改良双切口锁定钢板治疗复杂胫骨平台骨折病人16例，观察病人的术中出血量、术后骨折愈合时间、完全负重时间及Merchant膝关节功能评分。结果：病人术中出血量为（184.03±9.37）mL，术后骨折愈合时间为（87.39±11.83）d，完全负重时间为（100.57±13.58）d，Merchant膝关节功能评分：优8例，良5例，尚可2例，差1例，优良率81.25%。结论：改良双切口锁定钢板治疗复杂胫骨平台骨折的方法较稳定，骨折愈合时间及完全负重时间较短，且Merchant膝关节功能评分较高。

Abstract: Objective: To explore the clinical efficacy of modified double incision locking plate in the treatment of complex tibial plateau fractures and Merchant knee joint function score after operation.Methods: Sixteen patients with complex tibial plateau fractures were treated with modified double incision locking plate.The intraoperative bleeding,postoperative healing time,full weight-bearing time and Merchant knee function score in all cases were observed.Results: The intraoperative bleeding,postoperative healing time and full weight-bearing time were(184.03±9.37)mL,(87.39±11.83)d and(100.57±13.58)d,respectively.The postoperative Merchant knee joint function score showed excellent in 8 cases,good in 5 cases,fair in 2 cases and poor in 1 case,and the excellent and good rate of which was 81.25%.Conclusions: The modified double incision locking plate in the treatment of complex tibial plateau fractures is stable method,with short healing and full weight-bearing time,and high Merchant knee function score.

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