经皮微创钢板内固定技术与普通钢板治疗胫骨骨折的临床分析

目的评价并比较应用经皮微创钢板内固定术（MIPPO）与常规切口普通钢板治疗胫骨骨折两种方法的临床疗效。方法对95例胫骨骨折患者分观察组（为微刨经皮钢板）与对照组（普通钢板）两种方法治疗，对比分析其术中及术后的一般情况，并对其各项指标进行统计学比较。结果两组患者的切口大小、出血量、住院时间、骨折愈合时间比较，差异有统计学意义（P〈0．01），但两组间手术时间和术后功能评价差异无统计学意义（P〉0．05）。结论MIPPO技术创伤小，并发症少，骨折愈合率高，是治疗胫骨骨折的有效方法。

Clinical evaluation of minimally invasive percutaneous plate fixation and conventional plate for fixation of tibia

Objective To investigate the clinical efficacy of minimally invasive percutaneous plate osteosynthesis （MIPPO） and conventional plate for fixation of tibia comminuted fracture. Methods 95 cases were divided into observayion group（ MIPPO group） and eontrli group （conventional plate group）. The intraoperative and postoperative situation was analyzed ,and their indicators were compared statistically. Results The differences of two groups in incision size, bleeding volume, mean hospital stay and bone union time were significant （ P 〈 0.01 ）. But mean operative time and functional results were not significantly different （ P 〉 0.05 ）. Conclusion MIPPO is a safe and effective procedure for fixation of tibia fracture with benefits of limited invasion, few complications and high rate of bone union.