摘要
目的探讨经皮微创锁定钢板内固定技术（MIPPO）治疗胫骨干骨折的疗效。方法回顾性分析自2010-01—2013-03采用MIPPO技术治疗胫骨干骨折38例（MIPPO组）,与同时期切开复位内固定治疗的30例胫骨干骨折（切开复位组）进行比较,观察2组切口长度、手术时间、术中出血量、住院时间、骨折愈合时间、并发症发生率及术后12个月Johner-Wruhs评分。结果 68例均获得平均18.3（12-24）个月随访。MIPPO组在切口长度、手术时间、术中出血量、住院时间、骨折愈合时间方面优于切开复位组,差异有统计学意义（P〈0.05）;而2组术后并发症发生率和术后12个月Johner-Wruhs评分优良率差异无统计学意义（P〉0.05）。结论 MIPPO技术治疗胫骨干骨折符合生物固定原理,较传统切开复位内固定术具有一定优势,是治疗胫骨干骨折有效的方法。
Objective To investigate minimally invasive percutaneous plate osteosythesis（MIPPO） for treatment of tibial shaft fractures. Methods From January 2010 to March 2013, MIPPO was used for treatment of tibial shaft fractures in 38 patients（MIPPO group）, and open reduction and internal fixation for treatment of 30 patients（open reduction group）. The incision length, operative time, blood loss, mean postoperative hospital stay, time of fracture healing, the incidence of complications,function recovery according to Johner-Wruhs scoring system were retrospectiverly analyzed and compared between the two groups and statistical analysis was performed. Results The follow-up period ranged from 12 to 24 months（mean 18.3 months）. There were significant differences in incision length, operative time, blood loss, mean postoperative hospital, time of fracture healing between the two groups（P〈0.05）. But there was no significant differences in the incidence of complications and Johner-Wruhs scoring（P〉0.05）. Conclusion MIPPO technology for treatment of tibia shaft fracture conforms to the principle of biological fixation, better than traditional open reduction and internal fixation having certain advantages, and is the effective method for treatment of tibia shaft fractures.
出处
《中国骨与关节损伤杂志》
2014年第10期1003-1005,共3页
Chinese Journal of Bone and Joint Injury
基金
全军医学科研"十二五"面上课题(CWS11J011)
关键词
胫骨干骨折
经皮微创锁定钢板内固定技术
锁定接骨板
切开复位
内固定
Tibial shaft fracture
Minimally invasive percutaneous plate osteosythesis
Locking plate
Open reduction
Internal fixation
