同位螺钉辅助微创接骨板技术内固定治疗胫骨远端骨折效果观察

发布时间：2018-06-26 11:29

本文选题：胫骨远端骨折 + 同位螺钉　；参考：《山东医药》2017年07期

【摘要】：目的观察同位螺钉辅助微创接骨板(MIPPO)技术内固定治疗胫骨远端骨折的临床效果。方法 63例胫骨远端骨折患者(共65足),分为观察组30例(30足)和对照组33例(35足)。观察组采用同位螺钉辅助MIPPO技术内固定治疗,对照组仅采用MIPPO技术治疗。术后五个月时记录患者术后骨折初始愈合时间(术后至X线观察到桥梁骨痂形成)、骨折临床愈合时间[5],计算术后5个月累积愈合率(CHR)、末次随访时以Johner-Wruhs方法[6]评价两组患肢功能,观察两组并发症发生情况。结果观察组、对照组骨折初始愈合时间分别为(48.17±13.12)、(65.94±19.09)d,二组比较,P0.05。观察组、对照组骨折临床愈合时间分别为(89.97±21.92)、(109.37±30.72)d,二组比较,P0.05。观察组术后5个月CHR高于对照组(P0.05)。观察组患肢功能为优21例、良7例、中2例、差0例,优良率93.3%,对照组分别为20、10、4、1例及85.7%。二组优良率比较,P0.05。观察组、对照组并发症发生率分别为3.33%、8.57%,两组比较,P0.05。结论同位螺钉辅助MIPPO技术内固定治疗胫骨远端骨折效果较好。
[Abstract]:Objective to observe the clinical effect of internal fixation of distal tibial fractures with the technique of minimally invasive bone plate (MIPPO). Methods Sixty-three patients (65 feet) with distal tibial fractures were divided into observation group (30 cases) and control group (33 cases (35 feet). The observation group was treated with the same position screw-assisted MIPPO technique, while the control group was treated with the MIPPO technique only. The initial healing time (bridge callus formation) and clinical healing time (5) were recorded at 5 months after operation. The cumulative healing rate (CHR) was calculated at 5 months after operation. Johner-Wruhs method [6] was used to evaluate the limb function of the two groups at the last follow-up. Complications were observed in both groups. Results the initial healing time of fracture in the observation group and the control group was (48.17 卤13.12), (卤65.94 卤19.09) days, compared with that in the two groups (P 0.05). The clinical healing time of fracture in observation group and control group was (89.97 卤21.92), (卤109.37 卤30.72) days, compared with control group (P 0.05). The HR in the observation group was higher than that in the control group 5 months after operation (P0.05). In the observation group, the limb function was excellent in 21 cases, good in 7 cases, fair in 2 cases, poor in 0 cases, and the excellent and good rate was 93.33.The control group was 2010104D and 85.7 cases, respectively. The excellent and good rate of the two groups was compared with that of P0.05. The incidence of complications in the observation group and the control group were 3.33 and 8.57, respectively (P 0.05). Conclusion the treatment of distal tibial fractures by internal fixation with isometric screw-assisted MIPPO is effective.
【作者单位】：南方医科大学第三临床医学院;上海市奉贤中心医院;
【基金】：上海市医学重点专科建设项目(ZK2015B06)
【分类号】：R687.3

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