经皮微创锁定钢板内固定治疗胫骨干骨折

发布时间：2018-10-17 18:00

【摘要】：目的探讨经皮微创锁定钢板内固定技术(MIPPO)治疗胫骨干骨折的疗效。方法回顾性分析自2010-01—2013-03采用MIPPO技术治疗胫骨干骨折38例(MIPPO组),与同时期切开复位内固定治疗的30例胫骨干骨折(切开复位组)进行比较,观察2组切口长度、手术时间、术中出血量、住院时间、骨折愈合时间、并发症发生率及术后12个月Johner-Wruhs评分。结果 68例均获得平均18.3(12~24)个月随访。MIPPO组在切口长度、手术时间、术中出血量、住院时间、骨折愈合时间方面优于切开复位组,差异有统计学意义(P0.05);而2组术后并发症发生率和术后12个月Johner-Wruhs评分优良率差异无统计学意义(P0.05)。结论 MIPPO技术治疗胫骨干骨折符合生物固定原理,较传统切开复位内固定术具有一定优势,是治疗胫骨干骨折有效的方法。
[Abstract]:Objective to evaluate the effect of percutaneous minimally invasive locking plate internal fixation (MIPPO) in the treatment of tibial shaft fracture. Methods 38 cases of tibial shaft fractures (MIPPO group) treated with MIPPO technique from 2010-01-2013-03 were analyzed retrospectively, and 30 cases of tibial shaft fractures treated by open reduction and internal fixation at the same time (open reduction group) were compared. The incision length and operation time were observed in both groups. Intraoperative bleeding, hospital stay, fracture healing time, complication rate and Johner-Wruhs score 12 months after operation. Results 68 cases were followed up for an average of 18. 3 months (12: 24). The MIPPO group was superior to the open reduction group in incision length, operative time, intraoperative bleeding, hospital stay and fracture healing time. The difference was statistically significant (P0.05), but there was no significant difference in the incidence of postoperative complications and the excellent and good rate of Johner-Wruhs score 12 months after operation (P0.05). Conclusion the treatment of tibial shaft fracture with MIPPO technique is in accordance with the principle of biological fixation and has some advantages over the traditional open reduction and internal fixation. It is an effective method for the treatment of tibial shaft fracture.
【作者单位】：新疆医科大学;兰州军区乌鲁木齐总医院骨科;
【基金】：全军医学科研“十二五”面上课题(CWS11J011)
【分类号】：R687.3

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