摘要
目的比较微创经皮钢板内固定术(MIPO)和交锁髓内钉治疗胫骨中下段骨折的临床效果。方法将70例胫骨中下段骨折患者随机分为试验组和对照组,各35例。试验组患者采用交锁髓内钉治疗,对照组患者采用MIPO治疗。比较两组患者的临床效果。结果试验组患者骨折愈合时间短于对照组(P<0.05);两组术后前、后骨折断端成角比较,无明显差异(P>0.05);对照组患者术后内外翻成角小于试验组(P<0.05);试验组患者的AOFAS评分高于对照组、VAS评分低于对照组(P<0.05)。结论MIPO和交锁髓内钉治疗胫骨中下段骨折各有优缺点,临床上可以依据患者具体情况选择手术方式。
Objective To explore the effect of percutaneous minimally invasive locking plate （MIPO） and interlocking intramedullary nail in patients with middle and distal tibial fractures. Methods Seventy cases of middle and distal tibial fractures were randomly divided into control group and experimental group, with 35 cases in each group. The control group was treated with interlocking intramedullary nail, while the experimental group received MIPO, the treatment effects were compared between the two groups. Results The healing time of the experimental group was shorter than that of the control group （P〈0.05）. There was no significant difference in the forward and backward angles after operation in the two groups （P〉0.05）. The inverted and everted angles after operation was smaller than that of the experimental group （P〈0.05）. The AOFAS score of experimental group was higher than that of the control group, the VAS score was lower than that of the control group （P〈 0.05）. Conclusion Both MIPO and interlocking intramedullary nail in the treatment of lower tibial fractures have advantages and disadvantages. We should choose the surgical approach according to the specific circumstances of patients.
出处
《临床医学研究与实践》
2017年第16期80-81,共2页
Clinical Research and Practice
关键词
胫骨中下段骨折
微创经皮钢板内固定术
交锁髓内钉
踝关节功能
middle and distal tibial fractures
percutaneous minimally invasive locking plate
intramedullary nailing
