引用本文:杨庆达,苏瑞鉴,梁 波,张智钊,卢建国,曾麟杰,吴耀康,陈善豪,梁大喜.锁定加压钢板治疗四肢关节端复杂性骨折[J].中国临床新医学,2009,2(10):1027-1030.
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锁定加压钢板治疗四肢关节端复杂性骨折
杨庆达,苏瑞鉴,梁 波,张智钊,卢建国,曾麟杰,吴耀康,陈善豪,梁大喜
537100 广西,贵港市中西医结合骨科医院
摘要:
[摘要] 目的 探讨锁定加压钢板(locking compression plate,LCP)治疗四肢关节端复杂骨折的疗效。 方法 对152例四肢关节端复杂骨折采用LCP接骨钢板内固定治疗(按AO分型:B1型18例,B2型22例,B3型35例,C1型28例,C2型29例,C3型20例),并对其疗效进行分析总结。 结果 术后随访(12.1±2.3)个月,骨折均愈合,无内固定松动、折断等情况。疗效评分:优105例,良33例,中12例,差2例,优良率90.8%。 结论 锁定加压钢板内固定治疗四肢关节端复杂性骨折,具有手术简单、固定可靠、利于骨折愈合及功能恢复等优点,是一种有效、理想的治疗方法。
关键词:  四肢关节端  复杂骨折  锁定加压钢板  内固定
DOI:10.3969/j.issn.1674-3806.2009.10.08
分类号:R 683.4
基金项目:
Treatment of complicated fractures near extremity joint with locking compression plate
YANG Qing-da, SU Rui-jian, LIANG Bo, et al.
Department of Orthopaedics, Guigang Orthopaedics Hospital of Chinese Traditional and Western Medicine, Guangxi 537100, China
Abstract:
[Abstract] Objective To observe the effect of locking compression plate on treatment of complicated fractures near extremity joint.Methods One hundred and fifty-two cases of complicated fractures near extremity joint underwent internal fixation with locking compression plate, which were classified into B1 type (18 cases), B2(22 cases), B3(35 cases), C1(28 cases), C2(29 cases) and C3(20 cases) according to AO typing. All the clinical data were analyzed retrospectively.Results One hundred and fifty-two cases were followed up for averaging (12.1±2.3) months. All fractures were healed without plate loosening or breaking. The results were excellent in 105 cases, fine in 33, fair in12, and poor in 2, with the total excellent and fine rate being 90.8%.Conclusion Internal fixation with locking compression plate for treatment of complicated fractures near extremity joint was effective and feasible. It provided a simple operation with advantages of solid fixation, early fracture healing and functional recovery.
Key words:  Near extremity joint  Complicated fracture  Locking compression plate  Internal fixation