山西医科大学学报2018，Vol.49Issue(4)：426-430,5.DOI:10.13753/j.issn.1007-6611.2018.04.020
数字骨科技术辅助MIPPO在治疗胫腓骨近端粉碎性骨折中的作用
Effect of digital orthopedic technology-assisted MIPPO in the treatment of proximal tibiofibular fracture
摘要
Abstract
Objective To investigate the digital orthopedic technology-assisted MIPPO in the treatment of proximal tibiofibular fracture in patients.Methods Thirty-two cases of proximal tibiofibular fractures were randomly divided into two groups (n =16 in each group):digital orthopedic technology assisted MIPPO group and MIPPO group.The reduction and fixation was simulated before operation using minmics software to determine the surgical protocol in digital orthopedic technology-assisted MIPPO group.The patient operation plan was determined according to the imaging data in MIPPO group.The incision length,operation time,bleeding volume,fluoroscopy times,hospitalization time,and first healing rate of the wound,functional reduction excellent rate,Johner-Wruhs excellent rate and the healing time of the fracture were compared between two groups.Results There was no significant difference in aspects of incision length[(12 ± 1.21) cm vs (13.1 ± 1.41) cm],wound healing rate(100％ vs 100％),Johner-Wruhs excellent rate (93.8％ vs 87.5％),fracture healing time[(3.1 ±0.2) month vs (3.3 ±0.7) month] between two groups.There was significant difference in aspects of bleeding volume [(50.21 ± 3.1) ml vs (78.2 ± 2.7) ml],operation time [(46.2 ± 2.1) min vs (67.2 ± 2.1) min],fluoroscopy times (6.2 ± 3.41 vs 10.2 ± 2.1),hospitalization time [(8.2 ±.1.9)d vs (11.2 ± 2.1)d],excellent rate of fracture reset function(93.8％ vs 75.0％) (P ＜ 0.05).Conclusion According to patient's condition,the digital technology-assisted MIPPO could develop the best surgical plan,shorten the operation time,reduce the bleeding volume and fluoroscopy times,and improve the fracture reset function rate.关键词
数字骨科技术/MIPPO/胫腓骨近端粉碎性骨折Key words
digital orthopedics technology/MIPPO/proximal tibiofibular fracture分类
医药卫生引用本文复制引用
姬文晨,蒋婉婷,李嘉,马兴,李萌..数字骨科技术辅助MIPPO在治疗胫腓骨近端粉碎性骨折中的作用[J].山西医科大学学报,2018,49(4):426-430,5.基金项目
国家自然科学基金资助项目(81701896) （81701896）
西安市科技计划项目(2016050SF/YX06-1) （2016050SF/YX06-1）
