摘要
目的探讨经皮微创锁定加压钢板内固定术治疗胫骨远端骨折的有效性及安全性。方法 80例胫骨远端骨折患者根据手术方法不同分为观察组和对照组,每组40例。观察组患者给予经皮微创锁定加压钢板内固定术治疗;对照组患者给予切开复位髓内钉内固定治疗,比较2组患者的手术情况、踝关节功能、并发症等。结果观察组患者的手术切口、手术时间、术中出血量、术后引流量、术后影像学完全愈合时间、完全负重下地时间均显著低于对照组(P<0.05,P<0.01)。观察组患者踝关节功能评分及优良率(92.5%)显著高于对照组(72.5%)(P<0.05);观察组患者并发症发生率(5.0%)显著低于对照组(30.0%)(P<0.01)。结论经皮微创锁定加压钢板内固定术有助于减小手术创伤、促进骨折愈合、改善踝关节功能、减少并发症,是治疗胫骨远端骨折理想的方法。
Objective To study the effect and safety of minimally invasive percutaneous locking compression plate fixation in treating distal tibial fracture.Methods Eighty patients with distal tibial fracture were enrolled and divided into observation group and control group,with 40 cases in each group.The observation group was given minimally invasive percutaneous locking compression plate fixation and the control group was given open reduction and intramedullary nail fixation.Then operation condition,ankle joint function and complications of the two groups were compared.Results The operation incision,operation time,bleeding volume,postoperative drainage volume,complete radiographic healing time,completely weight-bearing time in observation group were obviously lower than those in control group（P 〈0.05,P 〈0.01）.The score of ankle joint function and the good rate（92.5%） in observation group was obviously higher than that in control group（72.5%）（P 〈0.05）.The incidence rate of complications in observation group（5.0%） was obviously lower than that in control group（30.0%）（P 〈0.01）.Conclusion Minimally invasive percutaneous locking compression plate internal fixation is an ideal method in treating distal tibial fracture for it can reducing operation trauma,promote healing,improve ankle joint function and reduce complications.
出处
《新乡医学院学报》
CAS
2015年第1期68-70,共3页
Journal of Xinxiang Medical University
关键词
胫骨远端骨折
锁定加压钢板
踝关节
并发症
distal tibia fractures
locking compression plate
ankle joint
complication
