经皮微创钢板内固定术与普通钢板治疗胫骨骨折的临床评价

Clinical evaluation of minimally invasive percutaneous plate fixation and conventional plate for fixation of tibia

目的:应用经皮微创钢板内固定术(MIPPO)与常规切口普通钢板治疗胫骨骨折,评价并比较两种方法的临床疗效。方法:对63例胫骨骨折患者随机分为微创经皮钢板组与普通钢板组两种方法治疗,对比分析其术中及术后的一般情况,并对其各项指标进行统计学比较。结果:两组患者在切口大小、手术时间、出血量方面比较,差异有统计学意义(P<0.05),但两组间平均住院时间、骨折愈合时间、术后功能评价比较,差异均无统计学意义。结论:MIPPO技术创伤小,并发症少,骨折愈合率高,是治疗胫骨骨折的有效方法。

[Abstract] Objective： To investigate the clinical effect of minimally invasive pereutaneous plate osteosvnthesis（MIPPO） and conventional plate for fixation of tibia comminuted fractures. Methods： MIPPO technique was applied in 32 out of 63 eases.Classic technique for fixation was applied in the other case, general situation of the intraoperative and postoperative was analyzed,and their statistical comparison of various indicator. Results： The differences of two groups of patients in incision size, operative time, bleeding volume was significant.Mean original hospistal stay,bone union time and fuctional resuits were not significant different. Conclusion：MIPPO is a safe and effective produre for fixation of tibia with benefits of limited invasion or soft tissue complications and high rate of bone union.