MIPPO与切开复位内固定在治疗胫骨远端骨折中的疗效比较  

Compared of Efficacy about Distal Tibial Fractures Treated by MIPPO with Open Reduction and Internal Fixation

作　　者：陈春林 

机构地区：[1]湖南省澧县人民医院,415500

出　　处：《中国医药指南》2010年第8期14-16,共3页Guide of China Medicine

摘　　要：目的评价两种不同方法治疗胫骨远端骨折的疗效,并对其并发症进行分析。方法对42例胫骨下段骨折患者分别采用切开复位解剖型钢板内固定和微创经皮锁定钢板内固定两种不同的固定方法治疗,术后观察患者并发症发生率以及骨折愈合时间、踝关节运动功能并进行对比研究。结果A组术后并发症发生率高于B组。经随访8～12个月,平均9个月,A组骨性愈合时间平均(16.0±3.7)周,B组平均(13.0±3.1)周,差异有统计学意义(P<0.01)。踝关节功能评定按照Johner-Wruhs评分标准,B组总体优良率明显高于A组(P<0.05)。结论经皮锁定钢板内固定较切开复位解剖型钢板内固定治疗胫骨远端骨折具有手术创伤小,对骨骼血供影响小,骨折愈合快,并发症少,功能恢复好的优点,符合生物力学内固定。Objective To evaluate two different methods for the treatment of distal tibial fractures, and its complications were analyzed. Methods 42 cases of fibial fracture patients following open reduction and internal fixation with anatomic minimally invasive percutaneous locking plate fixation for the treatment of two different fixation methods, the incidence of postoperative complications in patients, as well as fractures, ankle motor function and a comparative study. Results A postoperative complication rate is higher than B group （P〈0.05）. The foUow-up of 8 to 12 months, an average of 9 months, A group of bone healing time average （16.0±3.7） weeks, B The mean （1 3.0±3.1） weeks, the difference was statistically significant （P〈0.01 ）. Ankle joint function assessed according to Johner-Wruhs scoring criteria, B group was significantly higher than the overall quality A group （P〈0.05）. Conclusion Percutancous locking plate fixation compared with open reduction and internal fixation with anatomic plate of distal tibial fractures with minor trauma and little impact on blood supply to the bones, fracture healing, less compli .cations and good functional recovery of the ankle joint advantages, in line with biomeehanical fixation.

关 键 词：胫骨远端骨折 内固定术 MIPPO技术 

分 类 号：R683.42[医药卫生—骨科学]