骨屑、骨优导结合MIPPO技术治疗胫骨远端骨折
发布时间：2018-07-17 06:03
【摘要】：目的:探讨骨屑、骨优导结合MIPPO技术治疗胫骨远端骨折的临床效果。方法:回顾性分析手术治疗的75例胫骨远端骨折病例。其中38例采用骨屑、骨优导结合MIPPO技术治疗胫骨远端骨折(A组),37例采用MIPPO技术治疗胫骨远端骨折(B组),并且进行随访。观察两组病例的手术时间,骨折愈合时间,Kofoed踝关节功能评分。结果:75例均获随访,随访时间10~15月,A组手术时间(103.3±16.7)min,B组手术时间(99.5±16.4)min,两组无统计学意义(P0.05)。A组骨折愈合时间(17.61±2.25)周,B组骨折愈合时间(20.03±3.39)周,A组骨折愈合时间短于对照组(P0.05)。A组Kofoed踝关节功能评分(87.79±3.64)分,B组Kofoed踝关节功能评分(85.35±4.17)分,两组有统计学意义(P0.05)。两组均无骨不连及骨延迟愈合发生。结论:采用MIPPO技术,再将钻孔时收集的钻头上的骨屑结合骨优导(rh BMP-2)置于骨折处,具有创伤小、操作简单、固定牢靠、不需额外取骨、有效利用资源、增加骨折愈合率、降低骨迟连、骨不连等特点,是治疗胫骨远端骨折的良好方法。
[Abstract]:Objective: to investigate the clinical effect of bone debris, bone guidance and MIPPO in the treatment of distal tibial fractures. Methods: 75 cases of distal tibia fractures were analyzed retrospectively. Among them, 38 cases were treated with bone scraps, bone guidance combined with MIPPO technique. 37 cases of distal tibial fractures (group A) were treated with MIPPO technique and followed up. The operation time, fracture healing time and Kofoed ankle function score were observed. Results all 75 cases were followed up. The follow-up time was (103.3 卤16.70) min in group A and (99.5 卤16.4) min in group B, and there was no significant difference between group A and group A (P 0.05). The time of fracture healing in group A was (17.61 卤2.25) weeks, and the time of fracture healing in group A was (20.03 卤3.39) weeks shorter than that in group A (P0.05). Kofoed ankle function score in group A was shorter than that in group A (P0.05). Kofoed ankle function score was (87.79 卤3.64) in group B and (85.35 卤4.17) in group B. The two groups had statistical significance (P0.05). No nonunion and delayed union occurred in both groups. Conclusion: using MIPPO technique, the bone scraps and bone conductance (rh BMP-2) collected from the drill bit are placed at the fracture site, which has the advantages of less trauma, simple operation, reliable fixation, no additional bone extraction, effective utilization of resources, and increased fracture healing rate. It is a good method to treat distal tibia fracture by reducing the characteristics of late bone union and nonunion.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
，
本文编号：2129331
[Abstract]:Objective: to investigate the clinical effect of bone debris, bone guidance and MIPPO in the treatment of distal tibial fractures. Methods: 75 cases of distal tibia fractures were analyzed retrospectively. Among them, 38 cases were treated with bone scraps, bone guidance combined with MIPPO technique. 37 cases of distal tibial fractures (group A) were treated with MIPPO technique and followed up. The operation time, fracture healing time and Kofoed ankle function score were observed. Results all 75 cases were followed up. The follow-up time was (103.3 卤16.70) min in group A and (99.5 卤16.4) min in group B, and there was no significant difference between group A and group A (P 0.05). The time of fracture healing in group A was (17.61 卤2.25) weeks, and the time of fracture healing in group A was (20.03 卤3.39) weeks shorter than that in group A (P0.05). Kofoed ankle function score in group A was shorter than that in group A (P0.05). Kofoed ankle function score was (87.79 卤3.64) in group B and (85.35 卤4.17) in group B. The two groups had statistical significance (P0.05). No nonunion and delayed union occurred in both groups. Conclusion: using MIPPO technique, the bone scraps and bone conductance (rh BMP-2) collected from the drill bit are placed at the fracture site, which has the advantages of less trauma, simple operation, reliable fixation, no additional bone extraction, effective utilization of resources, and increased fracture healing rate. It is a good method to treat distal tibia fracture by reducing the characteristics of late bone union and nonunion.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
，
本文编号：2129331
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