传统切开复位普通钢板和经皮微创锁定钢板内固定治疗胫骨中下段骨折疗效观察

【目的】探讨传统切开复位普通钢板和经皮微创锁定钢板内固定治疗胫骨中下段骨折的临床疗效。【方法】回顾性分析2014年5月至2018年2月在本院诊治的93例胫骨中下段骨折患者的临床资料。根据治疗方法的不同分为微创组(n=54)和开放组(n=39),开放组患者采取传统切开复位普通钢板内固定治疗,微创组患者采取经皮微创锁定钢板内固定治疗。比较两组患者围术期情况(手术时间、切口长度、术中出血量、住院时间、骨折愈合时间)、并发症、踝关节和膝关节功能。【结果】微创组患者手术时间、住院时间、骨折愈合时间、手术切口长度均短于开放组,术中出血量少于开放组,其差异均具统计学意义(P<0.05);微创组患者并发症发生率显著低于开放组(P<0.05)。微创组患者踝关节及膝关节功能优良率分别为83.33%、90.74%,均显著高于开放组的69.23%、74.36%,其差异均具有统计学意义(P<0.05)。【结论】与传统切开复位普通钢板内固定治疗相比,经皮微创锁定钢板内固定治疗胫骨中下段骨折,临床疗效更为显著,并发症更少,踝关节和膝关节功能恢复更优.值得临床推广应用。

Clinical Effect of Traditional Open Reduction and Percutaneous Minimally Invasive Locking Plate in the Treatment of Middle and Lower Tibial Fractures

【Objective】To investigate the clinical effect of traditional open reduction and percutaneous minimally invasive locking plate in the treatment of middle and lower tibial fractures.【Methods】The clinical data of 93 cases of middle and lower tibial fracture treated in our hospital from May 2014 to February 2018 were retrospectively analyzed.According to the different treatment methods,the patients were divided into minimally invasive group(n=54)and open group(n=39).The open group was treated with conventional open reduction and common plate internal fixation.The minimally invasive group was treated with percutaneous minimally invasive locking plate internal fixation.The perioperative conditions(operation time,incision length,intraoperative bleeding volume,hospital stay,fracture healing time),complications,ankle joint and knee joint function were compared between the two groups.【Results】The operation tim e,hospital stay and fracture healing time of the minimally invasive group were shorter than those of the open group,incision length was shorter than that of the open group,and the amount of bleeding during operation was less than that of the open group,the difference was statistically significant(P<0.05).The incidence of complications in the minimally invasive group was lower than that in the open group(P<0.05).The excellent and good rates of ankle and knee joint function in minimally invasive group were 83.33% and 90.74% respectively,which were higher than those in open group(69.23% and 74.36%,P<0.05 and P<0.05).【Conclusion】Compared with conventional open reduction and conventional plate internal fixation,percutaneous minimally invasive locking plate internal fixation has better clinical effect,fewer complications and better functional recovery of ankle and knee joint,which is worthy of clinical prom otion.