MIPPO技术结合LCP治疗胫骨近端骨折的临床疗效观察

发布时间：2018-01-20 12:42

本文关键词： MIPPO ORIF 胫骨近端骨折　出处：《辽宁中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:通过观察分析对比传统切开复位内固定术(ORIF)与经皮微创钢板内固定技术(MIPPO)治疗胫骨近端骨折的疗效,总结经皮微创内固定术的优缺点及临床应用经验,为临床治疗提供经验。方法:选取2013年3月至2014年3月期间,在沈阳市骨科医院就诊治疗的胫骨近端骨折,并入院接受本课题手术研究治疗的患者42例作为研究对象。随机分为A组和B组,其A组21例,采用传统的切开复位钢板内固定术(ORIF)治疗;B组21例,采用经皮微创内固定技术(MIPPO)治疗。术后给予抗炎消肿治疗,并指导功能锻炼。观察统计术中切口长度、术中出血量、手术时间、骨折愈合时间、完全负重时间及膝关节功能恢复情况等指标。并用SPSS17.0统计软件进行数据统计学分析。结果:两组在切口长度、手术时间、术中出血量、骨折愈合时间、开始负重时间的比较P0.05,差异具有统计学意义,表明MIPPO技术在切口长度、手术时间、术中出血量、骨折愈合时间、完全负重时间上优于ORIF;两组在术后膝关节功能恢复上的比较P0.05,差异无统计学意义,表明MIPPO技术与ORIF两种治疗方式在术后膝关节功能恢复上没有明显差异。结论:MIPPO技术与ORIF在治疗胫骨近端骨折上相比具有明显优势,具有切口小、出血少、手术时间短、骨折愈合时间短的优势。为临床治疗提供了一种较好的参考。
[Abstract]:Objective: to observe and analyze the curative effect of treatment of proximal tibial fractures by comparing with traditional open reduction and internal fixation and percutaneous minimally invasive plate fixation (MIPPO). To summarize the advantages and disadvantages of percutaneous minimally invasive internal fixation and clinical application experience to provide experience for clinical treatment. Methods: from March 2013 to March 2014. Forty-two patients with proximal tibial fractures treated in Shenyang Orthopedic Hospital and admitted to this study were randomly divided into two groups: group A (n = 21) and group B (n = 21). Traditional open reduction plate internal fixation was used to treat the patients. Group B (21 cases) were treated with percutaneous minimally invasive internal fixation (MIPPO). The patients were treated with anti-inflammation and detumescence after operation. The length of incision, the amount of intraoperative bleeding and the time of operation were observed. The healing time of fracture, the time of full weight loading and the recovery of knee joint function were analyzed statistically with SPSS17.0 software. Results: the length of incision and the time of operation in the two groups were analyzed. There were significant differences in intraoperative bleeding, fracture healing time and weight loading time (P0.05), which indicated that MIPPO technique had significant differences in incision length, operative time, and intraoperative bleeding volume. The time of fracture healing and the time of complete weight loading were better than those of ORIFI. There was no significant difference in the recovery of knee joint function between the two groups (P0.05). The results showed that there was no significant difference between MIPPO and ORIF in the recovery of knee joint function after operation. MIPPO technique is superior to ORIF in the treatment of proximal tibial fractures. It has the advantages of small incision, less bleeding, short operation time and short fracture healing time, which provides a good reference for clinical treatment.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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