摘要
目的:探讨应用传统切开复位内固定与经皮微创锁定钢板治疗胫骨中下段骨折的临床疗效。方法:回顾分析应用经皮微创锁定钢板与传统切开复位内固定治疗胫骨下段骨折患者各31例。比较两组患者的术中出血量、手术平均时间、术后踝关节活动度Johner-Wruhs评分等情况。结果:经皮微创锁定钢板组的平均手术时间、术口长度、术中出血量及Johner-Wruhs评分优于传统切开复位内固定组(P<0.05)。结论:应用经皮微创锁定钢板内固定治疗胫骨中下段骨折,具有手术时间短、出血少、损伤小、肢体功能恢复好等优点,符合美学要求,是治疗胫骨下段骨折较有效的方法。
Objective: To investigate the clinical efficacy of open reduction and internal fixation with minimally invasive locking plate in the treatment of distal tibial fracture. Methods: Retrospective analysis was adopted to analyze cases of lower tibial fractures treated with minimally invasive locking plate and traditional open reduction and internal fixation respectively( 31 cases in each group). The intraoperative blood loss,mean time of operation,ankle mobility and JohnerWruhs score were compared between the two groups. Results: The average operative time,length of the incision,the amount of bleeding and the Johner-Wruhs score of the minimally invasive locking plate group were better than those of the traditional open reduction and internal fixation group( P < 0. 05). Conclusion: The application of minimally invasive percutaneous locking plate fixation for the treatment of distal tibial fractures,with shorter operation time,less bleeding,less damage,and good recovery of limb function,meets the aesthetic requirements and is an effective method for the treatment of distal tibial fractures.
出处
《赣南医学院学报》
2017年第4期552-554,共3页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
微创
锁定钢板
胫骨骨折
切开复位内固定
minimally invasive
locking plate
tibial fracture
open reduction and internal fixation
