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| Clinical effects analysis of distal femoral anatomic plate together with long screw in treating distal femoral fracture |
| YANG Tao1 LAN Ying-hua2 CHANG Guo-rong1 CEN Zhi-cong1 GAO Jian-jian1 |
1.Department of Orthopedics,the Second People′s Hospital of Huadu District in Guangzhou City of Guangdong Province, Guangzhou 510850,China;
2.Department of Obstetrics and Gynecology,the Fifth Hospital Affiliated of Guangzhou Medical University,Guangzhou 510700,China |
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Abstract Objective To explore the clinical effects of distal femoral anatomic plate together with long screw in treating distal femoral fracture.Methods A total of 76 cases with distal femoral fracture from July 2013 to June 2015 in Guangzhou municipal Huadu district the 2ndPeople′s Hospital were selected and randomly divided into observation group and control group,38 cases in each groups.The observation group was accepted the treatment of distal femoral anatomic plate with long screw internal fixation,and the control group was treated by locking plate internal fixation.The intraoperative blood loss,bony healing time,operative time,postoperative time of hospitalization,knee joint function scoreandcomplication between two groups were compared.Results All patients were got bony healing after treatment.The intraoperative blood loss of observation group was(286.55±18.74)ml lower than that of control group of(416.45±19.35) ml,with significant difference（t=26.78,P＜0.01）,and bony healing time of observation group was(138.56±18.06)d,was better than that of control group of(185.24±28.26)d（t=18.64,P＜0.01）.The VAS pain scores of observation group at 24 and 48 hours after surgery respectively were(5.68±1.24)scores and(3.56±0.85)scores were lower than those of control group of(6.96±1.13)scores and (4.96±1.12)scores,with differences were significant（P＜0.05）.The operative time and postoperative time of hospitalization between two groups were no significant differences（P＞0.05）.The total postoperative complication of observation group was 5.26%lower than that of control group of 21.05%（χ2=4.15，P＜0.05）,and the excellent rate of knee joint function score of observation group was 92.11%,higher than that of control group of 68.42%（χ2=6.73，P＜0.05）.Conclusion The distal femoral anatomic plate with long screw internal fixation is effective for treating distal femoral fracture,and can be clinically promoted.
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| [1] |
买买提艾力·尼亚孜，艾合买提·吾买尔，买尔旦·买买提，等.逆行髓内钉和钢板置入内固定治疗股骨远端骨折的比较[J].中国组织工程研究，2012，16（44）：8201-8205.
|
| [2] |
刘东杰，刘示，饶东.股骨远端解剖型钢板治疗股骨下端骨折临床体会[J].求医问药，2012，10（7）：363-364.
|
| [3] |
庄鹏.钢板内固定治疗股骨骨折11例效果观察[J].中国当代医药，2010，17（7）：21-22.
|
| [4] |
李小龙.交锁髓内钉与钢板内固定治疗胫骨、股骨骨折的疗效对比分析[J].中国当代医药，2011，18（26）：37-38.
|
| [5] |
胥少汀，葛宝丰，徐印坎.实用骨科学[M]．3版．北京：人民军医出版社，2005：708．
|
| [6] |
Park JY，Zhang HY，Oh MC.New technical tip for anterior cervical plating：make hole first and choose the proper plate size later[J].J Korean Neurosurg Soc，2011，49（4）：212-216．
|
| [7] |
樊晓海，甄平，薛云.采用长解剖型锁定钢板插入技术内固定治疗同侧股骨干骺端及骨干骨折21例[J].中国骨与关节损伤杂志，2014，29（4）：335-337.
|
| [8] |
Smith JR，Halliday R，Aquilina AL，et al.Distal femoral fractures：the need to review the standard of care[J].Injury，2015，46（6）：1084-1088.
|
| [9] |
赵玉峰，邢叔星，沈岳，等.新型锁定钢板与骨骼接触特征及其固定下的骨折愈合观察[J].重庆医学，2010，39（9）：1071-1073.
|
| [10] |
王全收，万青红，王晓光，等.股骨远端锁定钢板治疗股骨远端骨折并发症的原因分析[J].中华创伤杂志，2016，32（3）：234-236.
|
| [11] |
Rodriguez EK，Boulton C，Weaver MJ，et al.Predictive factors of distal femoral fracture nonunion after lateral locked plating：a retrospective muhicenter case-control study of 283 fractures[J].Injury，2014，45（3）：554-559.
|
| [12] |
程维，李长有，李晓华.解剖型钢板在四肢近关节端骨折中的临床应用[J].中华创伤骨科杂志，2004，26（8）：959-960.
|
| [13] |
马运宏.腓骨远端解剖型钢板与空心螺钉置入内固定修复Danis-Weber B型双踝骨折[J].中国组织工程研究，2015，19（35）：5674-5678.
|
| [14] |
刘俊，郑勇，叶茂.股骨远端骨折的内固定手术105例分析[J].创伤外科杂志，2010，12（6）：526-528.
|
| [15] |
廖春来，王培信，李培浩，等.股骨远端复杂骨折的内固定方式选择[J].中国矫形外科杂志，2011，17（8）：624-627.
|
| [16] |
李波，龙星，程勇，等.长螺钉在下颌骨髁突斜形骨折内固定中的应用研究[J].口腔颌面外科杂志，2009，19（6）：408-411.
|
| [17] |
李鹏飞.股骨远端解剖型钢板治疗股骨下端骨折效果探讨[J].医学信息，2014，27（5）：460.
|
| [18] |
冯明生，高冀敏，孙富.逆行交锁髓内钉治疗股骨下段复杂骨折的体会[J].实用骨科杂志，2012，18（4）：354-357.
|
|
|
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