湖北医药学院学报2024，Vol.43Issue(4)：396-400,5.DOI:10.13819/j.issn.2096-708X.2024.04.011
微创经皮钢板固定术治疗胫骨中下段骨折的疗效分析
Efficacy of Minimally Invasive Percutaneous Plate Osteosynthesis in Treating Fractures in the Middle and Lower Segments of the Tibia
摘要
Abstract
Objective To compare the efficacy of intramedullary nailing(IMN)and minimally invasive percutaneous plate osteosynthesis(MIPPO)in the treatment of fractures in the middle and lower segments of the tibia.Methods A total of 66 patients with fractures in the middle and lower segments of the tibia treated in the Xiangyang No.1 People's Hospital,Hubei University of Medicine from January 2020 to December 2022 were selected and divided into a control group and an observa-tion group,with 33 in each group.The observation group underwent MIPPO,while the control group received IMN.Surgi-cal outcomes,therapeutic effects,C-reactive protein(CRP),erythrocyte sedimentation rate(ESR),and white blood cell(WBC)count were compared between the two groups.Results The observation group had lower intraoperative blood loss,shorter hospital stays,and faster fracture healing than the control group(P＜0.05).The excellent and good results of Johner-Wruhs scoring system in the observation group was 93.9%,which was higher than the 75.8%in the control group(P＜0.05).Furthermore,CRP,ESR,and WBC count were elevated in both groups after treatment,but the control group showed higher increases compared with the observation group(P＜0.05).Conclusion For fractures in the middle and lower seg-ments of the tibia,MIPPO demonstrates superior clinical outcomes to IMN and should be considered as the preferred treat-ment method.关键词
胫骨中下段骨折/微创经皮钢板固定术/交锁髓内钉内固定术Key words
Fractures in the middle and lower segments of the tibia/Minimally invasive percutaneous plate osteosynthesis/Intramedullary nailing引用本文复制引用
周骁阳,贾俊杰,周云烽,段鹏,石义华..微创经皮钢板固定术治疗胫骨中下段骨折的疗效分析[J].湖北医药学院学报,2024,43(4):396-400,5.基金项目
湖北省重点研发计划项目(2022CFD010) （2022CFD010）
湖北省卫生健康委面上项目(WJ2023M162) （WJ2023M162）
湖北省"323"攻坚行动重点专项科研基金(XYY2022-323) （XYY2022-323）
襄阳市科技局重点项目(2022YL24A) （2022YL24A）
