微创经皮锁定加压钢板内固定治疗胫骨远端骨折患者的效果分析  

Effect of minimally invasive percutaneous locking and compression plate internal fixation for patients with distal radius fracture

作　　者：何海峰[1] 李景龙[1] 刘朋伟 He Haifeng;Li Jinglong;Liu Pengwei(Department of Orthopaedics,Anyang People's Hospital,Anyang Henan 455000,China)

机构地区：[1]安阳市人民医院骨二科,河南安阳455000

出　　处：《云南医药》2020年第2期112-114,共3页Medicine and Pharmacy of Yunnan

摘　　要：目的探讨微创经皮锁定加压钢板内固定治疗胫骨远端骨折患者的效果。方法选取2016年1月-2019年1月我院胫骨远端骨折患者379例,按手术方案不同分观察组(n=190)、对照组(n=189)。对照组常规行切开复位内固定术,观察组行微创经皮锁定加压钢板内固定术。比较2组骨折恢复分级、并发症发生率、术前及术后6月踝关节功能(Kofoed评分)。结果观察组骨折恢复分级优于对照组,差异有统计学意义(P<0.05);术后6月2组Kofoed评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率1.58%(3/190)与对照组3.17%(6/189)对比,差异无统计学意义(P>0.05)。结论微创经皮锁定加压钢板内固定治疗胫骨远端骨折患者骨折愈合效果显著,并发症少,能有效恢复踝关节功能。Objective To evaluate the effect of minimally invasive percutaneous locking and compression plate internal fixation for the treatment of distal radius fractures.Methods A total of 379 patients with distal radius fractures from January 2016 to January 2019 were enrolled.The observation group(n=190) and the control group(n=189) were divided according to the surgical plan.In the control group,open reduction and internal fixation were performed.The observation group underwent minimally invasive percutaneous locking and compression plate internal fixation.The fracture recovery grade,complication rate,and ankle function(Kofoed score) were compared between the two groups before and 6 months after surgery.Results The fracture recovery grade of the observation group was better than that of the control group(P<0.05).The Kofoed scores of the two groups were increased at 6 months after operation,and the observation group was higher than the control group.The difference was statistically significant(P<0.05);the incidence of complications in the observation group was 1.58%(3/190) compared with 3.17%(6/189) in the control group,and the difference was not statistically significant(P>0.05).Conclusion Minimally invasive percutaneous locking and compression plate internal fixation for the treatment of distal radius fractures has significant fracture healing and less complications,which can effectively restore ankle joint function.

关 键 词：微创经皮锁定加压钢板内固定 胫骨远端骨折 踝关节功能 并发症 

分 类 号：R683.42[医药卫生—骨科学]