Tahririan Mohammad Ali, Mousavitadi Seyyed Hamid, Derakhshan Mohsen
Department of Orthopedics, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan 8174673461, Iran.
ISRN Orthop. 2014 Mar 16;2014:324573. doi: 10.1155/2014/324573. eCollection 2014.
Fixation of tibial plateau fractures with plate has been widely used. This prospective study was planned to compare locking plate fixation of tibial plateau fracture with nonlocking methods in terms of their functional outcomes. The subjects of the study were selected from consecutive patients suffering from tibial plateau fractures referred to Kashani Hospital in Isfahan, Iran, between 2012 and 2013 and were candidate for surgery. The final included patients were assigned to two groups, those who were treated with locking plate (n = 20) and those who were treated with nonlocking plates (N = 21). The mean duration of follow-up was 13.4 months (ranging between 10 and 17 months). The mean of knee scores was significantly higher in locking plate group than in nonlocking plate group at the follow-up time (80.20 ± 10.21 versus 72.52 ± 14.75, P = 0.039). Also, the mean VAS pain severity score was significantly lower in locking plate group compared with nonlocking plate group (4.45 ± 2.50 versus 6.00 ± 2.59, P = 0.046). This study confirmed superiority of the locking plate method over nonlocking plate method with regard to knee score as well as VAS pain score.
钢板固定胫骨平台骨折已被广泛应用。本前瞻性研究旨在比较锁定钢板固定与非锁定钢板固定胫骨平台骨折的功能预后。研究对象选自2012年至2013年间转诊至伊朗伊斯法罕卡沙尼医院的连续胫骨平台骨折患者，且均为手术候选者。最终纳入的患者被分为两组，一组采用锁定钢板治疗（n = 20），另一组采用非锁定钢板治疗（N = 21）。平均随访时间为13.4个月（10至17个月）。随访时，锁定钢板组的膝关节评分均值显著高于非锁定钢板组（80.20 ± 10.21对72.52 ± 14.75，P = 0.039）。此外，锁定钢板组的VAS疼痛严重程度评分均值显著低于非锁定钢板组（4.45 ± 2.50对6.00 ± 2.59，P = 0.046）。本研究证实，在膝关节评分和VAS疼痛评分方面，锁定钢板法优于非锁定钢板法。
