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目的观察锁定钢板治疗青少年胫骨远端三平面骨折患者的临床疗效及安全性。方法选取胫骨远端骨折青少年患者100例作为研究对象,将100例患者随机分为研究组和对照组各50例,研究组患者选用锁定钢板内固定,对照组患者给予常规内固定方法,比较2组患者的治疗效果、手术情况及并发症发生情况。结果研究组治疗总有效率为98.0%高于对照组的62.0%,差异有统计学意义(P<0.05)。研究组患者的手术时间、术后下床活动时间、住院时间、骨折愈合时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论锁定钢板对青少年胫骨远端三平面骨折患者的治疗效果显著,安全性高,值得临床推广应用。
Objective To observe the clinical efficacy and safety of locking plate in the treatment of tibial distal tibial fractures in adolescents. Methods A total of 100 adolescents with distal tibial fractures were enrolled in this study. 100 patients were randomly divided into study group (50 cases) and control group (50 cases). Patients in the study group were treated with internal fixation with locking plate and control group Group patients treatment, surgical conditions and complications. Results The total effective rate of the study group was 98.0% higher than that of the control group (62.0%), the difference was statistically significant (P <0.05). The operation time, postoperative ambulation time, hospitalization time and fracture healing time in the study group were shorter than those in the control group, with less bleeding during operation than the control group (P <0.05). The incidence of postoperative complications in the study group was lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion The locking plate has a significant therapeutic effect on patients with tertiary tibial fractures in adolescents. It is safe and worthy of clinical application.