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1、鎖定加斥鋼板和解剖鋼板治療脛骨遠端骨折療效對比［摘要］目的：研究鎖定加壓鋼板(lockingcompressionplate,LCP)和解剖鋼板治療脛骨遠端骨折的療效差異。方法：選取2008年1月~2011年6月我科診治的脛骨遠端骨折患者90例，根據(jù)治療方式分成鎖定加壓鋼板治療組(LCP組，45例)和解剖鋼板治療組(ANP組，45例)，比較兩組患者療效和并發(fā)癥的差異。結(jié)果：LCP組踝關(guān)節(jié)功能評分，優(yōu)27例，良13例，中3例，差2例，優(yōu)良率為88.9%；ANP組踝關(guān)節(jié)功能評分，優(yōu)22例，良10例，中7例，差6例，優(yōu)良率為71.1%0LCP組脛骨遠端骨折患者的手術(shù)時間、出血量、骨移植
2、率和X線愈合時間顯著低于ANP組(P〈0.05),而術(shù)中透視次數(shù)顯著高于ANP組(P〈0.05)。LCP組血腫、傷口皮膚壞死、創(chuàng)傷性關(guān)節(jié)炎、內(nèi)固定斷裂和骨不連發(fā)生率低于ANP組，差異無統(tǒng)計學(xué)意義(P>0.05),但LCP組并發(fā)癥總數(shù)顯著低于ANP組(P<0.05)o結(jié)論：LCP治療脛骨遠端骨折療效顯著，術(shù)后并發(fā)癥少，療效顯著高于解剖鋼板治療。［關(guān)鍵詞］脛骨遠端骨折；鎖定加壓鋼板；解剖鋼板；療效［中圖分類號］R683.4［文獻標識碼］B［文章編號］1673-7210(2011)12(b)-182-02Comparisonoflockingcompressionplateandana
3、tomicalplate"scurativeeffectsinthetreatmentofdistaltibiafractureCAOHua,ZHANGJunDepartmentofOrthopaedics,theFirstPeople'sHospitalofJiangxiaDistrict,HubeiProvince,Wuhan430200,China［Abstract］Objective:Tostudythedifferencesoflockingcompressionplate(LCP)andanatomicalplate'scurativeeffectsondistalt
4、ibiafracture.Methods:90caseswithdistaltibiafracturefromJanuary2008andJun2011weretreatedwithlockingcompressionplate(LCPgroup,45cases)andanatomicalplate(ANPgroup,45cases).Thecurativeeffectsandpostoperativccomplicationsoftwogroupswerecompared?Results:ThegoodcomprehensivefunctionofankleinLCPgroup
5、,excellentin27cases,goodin13cases,acceptablein3cases,andpoorin2cases,theratesofexcellentwas88.9%;InANPgroup,excellentin22cases,goodin10cases,acceptablein7cases,andpoorin6cases,theratesofexcellentwas71.1%.Theoperatingtime,blooding,therateofbonegrafts,thetimeofXrayconcrescenccofLCPgroupwerelowe
6、rthanthatofANPgroup(P<0.05),buttheintraoperationtimeofperspectivewashigherthanthatofANPgroup(P<0.05).Thehematoma,necrosisofskin,traumaticosteoarthritis,fracturefixationandtheincidenceofbonenonunionofLCPgroupwerelowerthanthatofANPgroup(P>0.05).ButthecomplicationofLCPgroupwasfewerthanthatofANPg
7、roup(P<0.05)?Conclusion:LCP，scurativeeffectinthetreatmentofdistaltibiafracturewaseffectivewithfewcomplications,whichwashigherthanANP.［Keywords］Distaltibiafracture;Lockingcompressionplate;Anatoinicalplate;Curativeeffect脛骨遠端骨折是指脛骨遠端5cm內(nèi)的骨折，常伴有局
