摘要
目的探讨闭合性胫骨干骨折切开复位钢板内固定,钢板放在内侧与外侧的比较。方法回顾分析自2002年8月至2005年8月我院收治疗的闭合性胫骨干骨折120例。根据AO分型:A型19例;B型41例;C型60例。其中60例行切开复位钢板放在内侧,60例钢板放在外侧。结果120例患者均获得随访,随访时间4～18个月(平均10个月),钢板内侧固定组:平均手术时间45 min,平均失血量约100.50 ml,平均骨折愈合时间6个月,钢板外侧固定组平均手术时间75 min,平均失血量约245.39 ml,平均骨折愈合时间6.5个月。两组疗效差异无统计学意义(P>0.04)。结论闭合性胫骨干骨折切开复位钢板放在内侧与放在外侧均达到很好的治疗效果,但钢板放在内侧手术简单易行,手术时间短,出血较少,为患者节约二次手术费用。
Objective To treat closed tibial fractures by open reduction with steel plate was applied on the medial or on the later side and to evaluate their efficiency. Methods During August 2002 to August 2005,120 patients with closed tibial fractures. According to AO classication fractures ,there were A type 19 cases;there were B type 41 cases; there were C type 60 cases. Among them 60 patients of closed tibial fractures by open reduction with steel plate were ap- plied on the medial （ORPM） ,the others by open reduction with steel plate were applied on the lateral （ORPL）. Results All the patients were followed from 4 months to 18 months （mean, 10 months）, in the ORPM group the average time of operation was 45 minutes,the bleeding in operation was 100.50 ml while the ORPL group was 75 minutes and 245.39 ml,the amount healing time of ORPM group was 6 months,whiM the ORPL group was 6.5 months;and there weren＇t singinficandy difference between the two group（ P 〉 0.04）. Conclusions By closed tibial for ORPM and ORPL are all applicable. But it was less invasive, easier to perform, shorter operation time, less bleeding and spend less money by ORPM.
出处
《医学信息（手术学分册）》
2007年第10期872-873,共2页
Medical Information Operations Sciences Fascicule
关键词
胫骨干骨折
钢板内固定
内侧或外侧
回顾性研究
tibial fractures
steel olate fixation
medial or lateral side
retrospective studies
