锁定钢板治疗复杂胫骨平台骨折的疗效和安全性分析

目的观察锁定钢板治疗复杂胫骨平台骨折的疗效和安全性。方法将我院在2010年4月至2012年12月收治的110例胫骨平台骨折患者，分为观察组（n=55）和对照组（n=55），观察组采用锁定钢板内固定治疗，对照组采用普通解剖型钢板内固定治疗。比较两组患者的一般情况、并发症情况及疗效。结果两组患者的手术时间和解剖复位率均无显著差异（P>0.05），但是观察组的出血量、住院时间、术后负重时间、骨折愈合时间、术后6个月膝关节屈伸活动度、术后6个月膝关节功能HSS评分、并发症发生率和疗效均显著优于对照组（P<0.05）。结论锁定钢板治疗复杂胫骨平台骨折，疗效确切、安全可靠，是一种理想的治疗方法。

The Efficacy and Safety of Locking Plate Internal Fixation for the Treatment of Complex Tibial Plateau Fractures

Objective To investigate the clinical efficacy and safety of locking plate internal fixation for the treatment of complex tibial plateau fractures. Methods From April 2010 to December 2012, 110 patients with complex tibial plateau fracture were divided into observation group （n=55） and control group （n=55）. Patients in observation group were treated with locking plate internal fixation and patients in control group were treated with anatomic plate internal fixation. The general information, complications and clinical outcome of two groups were observed and compared. Results There were no significant differences in operation time and anatomical restoration rate between two groups （P〉0.05）. However, the peri-operative bleeding, time of hospitalization, loading time after operation, fracture healing time, range of knee motion 6 months after operation, HSS score of knee joint function 6 months after operation, complication rate and efficacy in observation group were significantly better than those in control group （P〈0.05）. Conclusion Locking plate internal fixation is effective and reliable for the treatment of complex tibial plateau fractures and is worthy of popularization.