摘要
目的研究非锁定钢板与锁定钢板内固定对跟骨粉碎性骨折患者的治疗效果。方法选取该院于2014年3月—2019年2月期间收治的90例跟骨粉碎性骨折患者,随机将患者划分成对照组和研究组,各45例,前者为患者使用非锁定钢板内固定进行治疗,后者为患者使用锁定钢板内固定进行治疗,对两组治疗效果进行研究分析。结果研究组患者治疗有效率(95.56%)、术中出血量(103.60±13.60)mL、手术时间(68.40±6.60)min、骨折愈合时间(72.10±2.50)d、并发症发生率(2.22%),各项数据均明显优于对照组,差异有统计学意义(χ^(2)=4.050,P=0.044;t=18.569,P<0.001;t=10.053,P<0.001;t=33.532,P<0.001;χ^(2)=4.939,P=0.026)。结论为跟骨粉碎性骨折患者使用非锁定钢板和锁定钢板内固定进行治疗,均具有一定效果,但锁定钢板内固定效果更佳,且并发症更少,利于病情康复。
Objective To study the effect of non-locking plate and locking plate internal fixation on patients with comminuted calcaneal fracture.Methods A total of 90 patients with calcaneal comminuted fractures admitted to the hospital from March 2014 to February 2019 were selected,and the patients were randomly divided into a control group and a study group 45 cases in each group,the former was the treatment of patients with non-locking steel plate internal fixation,and the latter was the treatment of patients with locking steel plate internal fixation.The treatment effects of the two groups were studied and analyzed.Results The effective rate of treatment in the study group(95.56%),intraoperative blood loss(103.60±13.60)mL,operation time(68.40±6.60)min,fracture healing time(72.10±2.50)d,complication rate(2.22%),the data were significantly better than the control group,the difference was statistically significant(χ^(2)=4.050,P=0.044;t=18.569,P<0.001;t=10.053,P<0.001;t=33.532 P<0.001;χ^(2)=4.939,P=0.026).Conclusion The use of non-locking plate and locking plate internal fixation for patients with calcaneal comminuted fractures has a certain effect,but the effect of locking plate internal fixation is better,and there are fewer complications,which is beneficial to the rehabilitation of the disease and is worthy of promotion.
作者
范建云
FAN Jian-yun(Department of Orthopedics,the First People's Hospital of Honghe Prefecture,Mengzi,Yunnan Province,661100 China)
出处
《世界复合医学》
2021年第1期101-103,共3页
World Journal of Complex Medicine
关键词
非锁定钢板内固定
锁定钢板内固定
跟骨粉碎性骨折
Non-locking plate internal fixation
Locking plate internal fixation
Calcaneal comminuted fracture
作者简介
范建云(1972-),男,傣族,本科,副主任医师,主要从事骨科临床工作。
