微创经皮接骨板内固定联合锁定加压钢板内固定与传统切开复位内固定治疗胫骨Pilon骨折的效果比较  

Comparison of the effects between MIPPO combined with LCP internal fixation and ORIF in the treatment of tibial pilon fracture

作　　者：魏海强[1] 李亮[1] 刘娜[1] WEI Hai-qiang;LI Liang;LIU Na(The First Department of Bone and Joint,Tangshan Second Hospital,Tangshan 063000,China)

机构地区：[1]河北省唐山市第二医院关节一科,河北唐山063000

出　　处：《实用医院临床杂志》2019年第3期177-180,共4页Practical Journal of Clinical Medicine

摘　　要：目的分析微创经皮接骨板内固定(MIPPO)联合锁定加压钢板(LCP)内固定术与传统切开复位内固定(ORIF)技术治疗胫骨Pilon骨折的效果。方法我院就诊的胫骨Pilon骨折患者,其中MIPPO联合LCP内固定术治疗(MIPPO+LCP组)、ORIF治疗(ORIF组)各60例。对比两组手术、损伤关节面复位及踝关节功能恢复情况,并统计并发症发生率。结果两组骨折至手术时间比较差异无统计学意义(P> 0. 05); MIPPO+LCP组住院时间及骨折愈合时间均较ORIF组短,术中失血量低于ORIF组,解剖复位比例、踝关节功能恢复优良率高于ORIF组(P <0. 05),两组并发症发生率比较差异无统计学意义(P> 0. 05)。结论与胫骨Pilon骨折患者,行MIPPO+LCP内固定术治疗或更利于宿舍关节面复位及踝关节功能恢复,值得临床重视。Objective To analyze the effects of minimally invasive percutaneous plate osteosynthesis( MIPPO) combined with locking compression plate( LCP) internal fixation and conventional open reduction and internal fixation( ORIF) in the treatment of tibial pilon fracture.Methods Sixty patients with tibial pilon fractures treated with MIPPO combined with LCP internal fixation( MIPPO+LCP group) and 60 patients treated with ORIF( ORIF group) in our hospital were enrolled in the study.The conditions of surgery,reduction of the injured articular surface and recovery of ankle function were compared between the two groups.The incidence of complications was also statistically analyzed.Results There was no significant difference in the time from fracture to surgery between the two groups( P > 0. 05).The length of hospital stay and fracture healing time of the MIPPO+LCP group were shorter than those of the ORIF group,and the blood loss during surgery was less than the ORIF group( P < 0. 05).The anatomical reduction rate and the excellent and good rate of ankle function recovery in the MIPPO + LCP group were significantly higher than those in the ORIF group( P < 0. 05).There was no significant difference in the incidence of complications between the two groups( P > 0. 05).Conclusion MIPPO combined with LCP internal fixation is more beneficial to the reduction of articular surface and recovery of ankle joint function in patients with tibial pilon fractures.

关 键 词：微创经皮接骨板内固定 锁定加压钢板内固定术 传统切开复位内固定术 胫骨PILON骨折 

分 类 号：R683.42[医药卫生—骨科学]