川北医学院学报2024，Vol.39Issue(8)：1022-1025,4.DOI:10.3969/j.issn.1005-3697.2024.08.004
不同固定术治疗胫骨下段骨折的疗效
Effects of different fixation methods in the treatment of middle and lower tibial fractures
摘要
Abstract
Objective:To explore the effects of small-incision closed reduction minimally invasive plate osteosynthesis(MIPO)and closed reduction interlocking intramedullary nail in the treatment of middle and lower tibial fractures.Methods:110 patients with middle and lower tibial fractures were included.Among the patients,52 cases underwent small-incision closed reduction MIPO(MIPO group),and 58 cases received closed reduction interlocking intramedullary nail(intramedullary nail group).Perioperative indicators,internal fixation-related complications,postoperative soft tissue blood supply status,fracture healing score and Johner-Wruhs score were compared between groups.Results:The surgical time in MIPO group was shorter(P＜0.05),and the intraoperative blood loss and in-cision length were less or shorter than those in intramedullary nail group(P＜0.05).The incidence rates of postoperative internal fixa-tion loosening and fracture and total incidence rate of complications revealed no statistical differences between the two groups(P＞0.05).The total incidence rate of adverse events of soft tissue blood supply such as skin necrosis,low skin temperature and cyano-sis/blood stasis in MIPO group was lower than that in intramedullary nail group at 1 months after surgery(P＜0.05).There were no statistically significant differences in fracture healing scores at 1 and 6 months after surgery and at the last follow-up and excellent and good rate of Johner-Wruhs score at the last follow-up between the two groups(P＞0.05).Conclusion:Both fixation methods have no significant differences in fracture healing,internal fixation stability and functional recovery of knee and ankle joints.However,small-in-cision closed reduction MIPO has less damage to the surrounding soft tissues and faster postoperative recovery of soft tissue blood sup-ply.关键词
胫骨中下段骨折/小切口/闭合复位/微创钢板固定/交锁髓内钉术Key words
Middle and lower tibial fractures/Small-incision/Closed reduction/Minimally invasive plate osteosynthesis/Inter-locking intramedullary nail分类
医药卫生引用本文复制引用
张明举,任胜军,丛慕,刘伟东,罗志刚,史桂秋..不同固定术治疗胫骨下段骨折的疗效[J].川北医学院学报,2024,39(8):1022-1025,4.基金项目
国家自然科学基金项目(81501857) （81501857）
