| 屈文振 廖伟 雄张浩 李冀 王克涛 杨以萌 李众利.胫前减张切口结合锁定加压钢板内固定治疗老年胫腓骨远端骨折的疗效[J].,2015,15(33):6462-6464 |
| 胫前减张切口结合锁定加压钢板内固定治疗老年胫腓骨远端骨折的疗效 |
| Effects of Reduced Tension Incision Anterior Tibial Fixation and LockingCompression Plate Fixation on the Treatment of Distal Tibia and FibulaFractures for Elderly Patients |
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| DOI： |
| 中文关键词: 胫前减张切口 锁定加压钢板内固定术 胫腓骨远端骨折 老年患者 |
| 英文关键词: Tension reduced incision Locking compression plate (LCP) Distal tibia and fibula fractures Elderly patients |
| 基金项目:国家自然科学基金项目（30901796） |
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| 中文摘要: |
| 目的：探讨胫前减张切口结合锁定加压钢板（LCP）内固定治疗老年胫腓骨远端骨折的临床效果。方法：选择2014 年3 月
-2015 年3 月本院收治的老年胫腓骨远端骨折患者100例，根据手术方式不同分为减张组和内固定组。减张组行胫前减张切口结
合锁定加压钢板内固定术，内固定组行锁定加压钢板内固定术。观察并比较两组患者的手术时间、术中出血量、住院时间、骨折愈
合时间、并发症的发生率以及AOFAS评分。结果：两组手术时间、术中出血量及住院时间比较，差异无统计学意义（P>0.05）；减张
组患者骨折愈合时间短于内固定组，并发症的发生率低于内固定组，差异具有统计学意义（P<0.05）；两组患者AOFAS 评分比较，
差异无统计学意义（P>0.05）。减张组患者的手术优良率高于内固定组，差异具有统计学意义（P<0.05）。结论：胫前减张切口结合
LCP内固定治疗老年胫腓骨远端骨折的临床效果显著，值得推广应用。 |
| 英文摘要: |
| Objective:To explore the clinical efficacy of tibia reduced tension incision and locking compression plate (LCP)
fixation on the treatment of distal tibia and fibula fractures for elderly patients.Methods:100 elderly patients with distal tibia and fibula
fractures who were treated in our hospital from March 2014 to March 2015 were selected and according to the different treatment
methods, the patients were divided into the reduced tension group and the internal fixation group, with 50 cases in each group. The
patients in the reduced tension group were treated with the tibialis anterior incision combined with LCP internal fixation, while the
patients in the internal fixation group were treated with the LCP fixation. Then the operation time, blood loss, hospitalization, fracture
healing time, complications and AOFAS scores in the two group were observed and compared between the two groups.Results:There
was no statistically significant difference about the operation time, blood loss and hospitalization between the two groups (P>0.05); The
healing time of the reduced tension group was shorter than that of the internal fixation group, and the complications were lower than that
of the internal fixation group (P<0.05); There was no statistically significant difference about the AOFAS scores between the two groups
(P>0.05).Conclusion:Anterior tibial fixation combined with LCP fixation has significant clinical efficacy for elderly patients with distal
tibia and fibula fractures, which is worthy of application and promotion. |
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