MIPPO联合LCP治疗胫骨骨折对骨愈合时间及内固定物松脱的影响  

Effect of MIPPO combined with LCP on bone healing time and internal fixation release in the treatment of tibial fractures

作　　者：袁浩 程永刚[1] 蔡执中 YUAN Hao;CHENG Yonggang;CAI Zhizhong(Department of Orthopaedics,Coast Police Corps Hospital of the Chinese People's Armed Police Force,Jiaxing 314000,China)

机构地区：[1]中国人民武装警察部队海警总队医院骨科,浙江嘉兴314000

出　　处：《全科医学临床与教育》2025年第4期328-330,共3页Clinical Education of General Practice

摘　　要：目的探究微创经皮钢板接骨术(MIPPO)联合锁定加压接骨板(LCP)治疗胫骨骨折对骨愈合时间、内固定物松脱的影响。方法选取胫骨骨折患者78例,随机分为MIPPO联合LCP组(ML组)和切开复位内固定组(OP组),每组39例。比较两组患者临床指标、膝关节评分(HSS)、治疗效果、继发效应发生率。结果ML组患者骨愈合时间、手术时间短于OP组,术后引流量少于OP组,差异均有统计学意义(t分别=9.87、23.08、12.80,P均<0.05)。治疗后3、6个月,ML组患者HSS评分均高于OP组,差异均有统计学意义(t分别=-17.38、-5.14,P均<0.05)。治疗6个月后,ML组患者的治疗有效率与OP组比较,差异无统计学意义(χ^(2)=0.90,P>0.05);ML组患者的继发效应总发生率低于OP组,差异有统计学意义(χ^(2)=4.52,P<0.05)。结论MIPPO联合LCP治疗与传统手术相比较,效果更佳,可以减少手术创伤、缩短康复时间、促进骨愈合、提高内固定物的稳定性,有助于提高手术的安全性和成功率。Objective To explore the effects of MIPPO combined with LCP on bone healing time and internal fixation release in the treatment of tibial fractures.Methods A total of 78 patients with tibial fracture were selected.They were divided into MIPPO combined with LCP group(ML group)and open reduction and internal fixation group(OP group)according to random number method,39 cases in each group.The clinical indicators,knee joint score(HSS),treatment effect and incidence of secondary effects were compared between the two groups.Results The bone healing time and operation time in ML group were shorter than those in OP group,and the postoperative drainage volume was lower than that in OP group,with statistical significance(t=9.87,23.08,12.80,P<0.05).At 3 and 6 months after treatment,HSS scores in ML group were higher than those in OP group,with statistical significance(t=-17.38,-5.14,P<0.05).After 6 months of treatment,the difference in effective rate was not statistically significant(χ^(2)=0.90,P>0.05).The total incidence of secondary effects in ML group was lower than that in OP group,and the difference was statistically significant(χ^(2)=4.52,P<0.05).Conclusion Compared with traditional surgery,MIPPO combined with LCP has a better effect in the treatment of tibial fracture,which can reduce surgical trauma,shorten recovery time,promote bone healing,provide stability of internal fixation,and contribute to improving the safety and success rate of surgery.

关 键 词：微创经皮钢板接骨术 锁定加压接骨板 骨愈合时间 内固定物松脱 胫骨骨折 

分 类 号：R687.3[医药卫生—骨科学]