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1、胫骨平台骨折患者采用切开复位内固定治疗的临床分析摘要:目的:对采用切开复位内固定治疗术的胫骨平台骨折患者及其临床治疗效果进行分析。方法:以2013年3月到2014年7月之间我院收治的72例胫骨平台骨折患者为研究对象,将其随机分为观察组和对照组进行治疗,每组平均36例患者。其中观察组患者采取“切开复位内固定术”进行治疗,另外36例对照组患者采取骨外同定架进行同定治疗,比较分析观察组与对照组患者膝关节功能、疼痛等级和并发症的发生率。结果:观察组患者疼痛评分为(92.38±3.62)分、患者能够主动活动膝关节的能力评
2、分为(91.45±4.12)分、患者膝关节活动范围评分为(90.24±5.78)分、患者膝关节稳定性评分为(91.89±4.45)分、患者自我能力评价评分为(93.23±2.39)分。各项评分均高于对照组,具有统计学意义(卩<0.05);观察组膝关节发生远期并发症的概率为11.1%,対照组为19.4%,对比两组数值,无统明显计学意义(P>0.05)。结论:切开复位内固定治疗术对于胫骨平台骨折治疗的临床效果显著,并发症反胜率较低,具有临床推广意义。关键词:胫骨平台骨折;切开复位;内固定;并发症Abst
3、ract:Objective:toanalyzetheclinicaleffectoftibialplateaufractureswithopenreductionandinternalfixationforthetreatmentofthepatientswith.Methods:betweenMarchto2014inJulyto2013,72casesoftibialplateaufracturepatientsadmittedtoourhospitalastheresearchobject,itinar
4、andomformtocarryonthetreatmentastheobservationgroupandthecontrolgroup,eachwithanaverageof36patients.Amongthe36casesofpatientsintheobservationgroupadopted"openreductionandinternalfixationinthetreatmentofother",36casesofcontrolgrouppatientstakethefixationforth
5、etreatmentofboneexternalfixingframe,theobservationgroupcomparedwiththecontrolgroupofpatientswiththeincideneerateofkneejointfunction,thelevelofpainandcomplications.results:theresultsofthestudyshowthat,theobservationgrouppatientspainscore(92.38±3.62),thepatien
6、tcanabilityactivekneescore(91.45±4..12),patientswithkneejointrangeofmotionscore(90.24±5.78),patientswithkneejointstabi1ityscore(91.89±4.45)evaluationpoints,patientselfabilityscore(93・3±2.9)points.Thescoreswerehigherthanthoseinthecontrolgroup,withstatisticals
7、ignificance(P<0.05);observationgroupofkneejointprobabilityofoccurrenceofcomplicationswas8.72%,16.61%inthecontrolgroup,twogroupsofnumericalcomparison,nounificationwasstatisticallysignificant(P>0.05)・Conclusion:openreductionandinternalfixationtreatmentfo
8、rtibialplateaufractureclinicalcurativeeffectisremarkable,hasthecomplicationsofantiwinningpercentageislow,significanceofclinicalpromotion.Keywords:tibialplateaufracture;openreduction;internalfixa