三种手术方法治疗胫骨远端骨折的疗效分析

Curative effect analysis of three kinds of surgical methods in the treatment of distal tibial fractures

目的分析切口复位内固定术(ORIF)、经皮微创插入钢板内固定术(MIPPO)、有限切开内固定结合外固定术治疗胫骨远端骨折的疗效。方法将96例胫骨远端骨折患者分为3组:A组(n=43)患者接受ORIF治疗,B组(n=16)患者接受MIPPO治疗,C组(n=37)患者接受有限切开内固定结合外固定术治疗。结果 B组患者手术时间显著长于C组患者,C组患者手术时间显著长于A组患者(P<0.05)。3组患者术中出血量、术后骨折愈合时间、术后工作时间、并发症发生率、治疗效果相比差异无统计学意义(P>0.05)。结论根据骨折类型、软组织条件选择恰当的手术方法,胫骨远端骨折患者可取得良好的疗效。

Objective To explore the curative effect of open reduction and internal fixation （ORIF）, minimally invasive percutaneous plate osteosynthesis （MIPPO） and limited open internal fixation and external fixation in the treatment of distal tibia] fractures. Methods Ninety-six cases of distal tibial fractures were divided into 3 groups： the group A （n=43） received ORIF treated, and the group B （n=16） received MIPPO treated, while the group C was given limited open internal fixation and external fixation. Results The operation time of group B was significantly higher than that of group C （P 〈 0.05）, which was significantly higher than that of group （P〈 0.05）, There were no significant differences in the intraoperative blood loss, postoperative fracture healing time, postoperative recovery time, incidence rate of surgical complications and therapeutic efficacy among the 3 groups（P〉0.05）. Conclusion According to the type of fracture and soft tissue conditions, the patient with distal tibial fractures in give appropriate surgical method, and it will obtain good therapeutic efficacy.