中医传统正骨手法结合微创经皮钢板内固定技术锁定加压钢板内固定治疗胫骨远端骨折的临床研究

目的:比较中医传统正骨手法结合微创经皮钢板内固定(MIPPO)技术锁定加压钢板(LCP)内固定和MIPPO技术、LCP内固定治疗胫骨远端骨折的临床疗效。方法:将我院2006年1月-2013年9月收治的胫骨远端骨折患者68例随机分为研究组(n=36)和对照组(n=30),分别采用中医传统正骨手法结合MIPPO技术LCP内固定和单纯MIPPO技术LCP内固定,比较两组疗效。结果:全部病人均获随访3-22个月,平均7.5个月,按Johner-Wruhs评分标准,研究组优良率为94.4%,明显高于对照组的87.5%(P0.05);研究组在手术时间、透视次数、骨痂形成时间、骨折愈合时间和并发症的发生率方面均明显优于对照组(P0.05)。结论:中医正骨手法结合MIPPO技术LCP内固定治疗胫骨远端骨折的术中透视少、骨折愈合快、并发症少,是治疗胫骨远端骨折的有效方法。

The Clinical Study of Chinese Traditional Bone Setting Manipulation combined with the Technology of MIPPO and LCP internal fixation in Treatment of Distal Tibial Fractures

Objective：To compare the clinical efficacy for patients with distal tibial fracture treated by traditional bone setting manipulation and minimally invasive percutaneous plate osteosynthesis （MIPPO）technology of LCP internal fixation. Methods： 68 patients with distal tibial fracture were randomly divided into research group （n=36）and control group （n=30） from Jan 2006 to Sept 2013, and treated by traditional bone setting manipulation combined with MIPPO technology of LCP internal fixation and simply by MIPPO LCP internal fixation respectively. The clinical efficacy was compared between the two groups. Results： All the cases were followed up for 3 - 22 months and the average was 7.5 months,according to the score standard evaluation of Johner-Wruhs,the excellent and good ratein research group was significantly higher than that in the control group （94.4% ＆amp; 87.5%,P ＆lt; 0.05）. The operation time , fluoroscopy time , callus formation time , fracture healing time and the incidence of complications in the research group were significantly better than those in the control group （all P ＆lt; 0.05）. Conclusions： Using of traditional bone setting manipulation and MIPPO technology of LCP internal fixation in treatment of distal tibial fractures is an effective method because of reducing operation times of radiology and complications ,shorting the healing time.