可吸收螺钉治疗34例老年胫骨平台骨折并发骨质疏松的效果及其对疼痛和并发症的影响

摘要

目的：探讨可吸收螺钉治疗老年胫骨平台骨折并发骨质疏松的效果及其对疼痛和并发症的影响。方法：选取2011年1月—2013年6月我院收治的老年胫骨平台骨折并发骨质疏松患者68例，按数字随机法分为观察组和对照组，每组34例。观察组采用可吸收螺钉内固定+外固定治疗，对照组采用金属松质骨螺丝钉内固定+外固定治疗。术后两组均接受为期12~15个月的随访。比较两组HSS膝关节功能评价表得分、骨折愈合情况、VAS评分和并发症发生情况。结果：治疗前观察组和对照组HSS膝关节功能评价表得分为优、良的患者比例均为0%，治疗后分别为的17.65%和76.47%与8.82%和61.76，且治疗后观察组HSS膝关节功能评价表得分为优、良的患者比例均高于对照组（P0.05），但观察组感染的发生率高于对照组，差异有统计学意义（P0.05) between the two groups, but the incidence of infection was higher in the observation group than in the control group (P<0.05). Conclusion:Absorbable screw in the treatment of senile tibial plateau fracture complicated with osteoporosis has good efifcacy and can promote fracture healing and relieve the pain, however, the incidence of postoperative infection in patients is higher, so great attention should be paid to the prevention of infection during the treatment.