经皮置入锁定加压钢板内固定治疗闭合性胫腓骨骨折的临床研究

Clinical Study on Percutaneous Placement Locking Compression Plate Internal Fixation in Treating Closed Tibiofibula Fractures

目的研究探讨经皮置入锁定加压钢板内固定治疗闭合性胫腓骨骨折的临床实用性。方法收集60例胫腓骨骨折患者,随机分为两组各30例。A组予传统解剖钢板切开复位内固定术治疗;B组予经皮置入锁定加压钢板内固定治疗。术后采用Johner-Wruhs胫骨骨折评分来评价疗效,并对结果进行分析。结果 A组出院时Johner-Wruhs评分:优20例,良1例,差9例;B组Johner-Wruhs评分:优25例,良3例,差2例。随访半年后A组Johner-Wruhs评分:优20例,良4例,差6例;B组Johner-Wruhs评分:优28例,良1例,差1例。B组的临床疗效优于A组,差异有统计学意义(P<0.05)。结论经皮置入锁定加压钢板内固定治疗闭合性胫腓骨骨折具有临床实用性和推广使用的价值。

Objective To explore the clinical practicability of percutaneous placement locking compression plate internal fixation in treating closed tibiofibula fractures. Methods 60 patients with tibiofibula fractures were chosen and divided randomly into two groups, with 30 cases in each group. Group A was treated with traditional anatomical plate open reduction and internal fixation, while group B was treated with percutaneous placement locking compression plate internal fixation. After treatment, clinical effects were evaluated with Johner-Wruhs scores and the results were analyzed. Results Johner-Wruh scores of group A at discharge： excellent 20 cases, good 1 case, bad 9 cases; Johner-Wruh scores of group B： excellent 25 cases, good 3 cases, bad 2 cases. Johner-Wruh scores of group A at a half year of follow up： excellent 20 cases, good 4 cases, bad 6 cases; Johner-Wruh scores of group B： excellent 28 cases, good 1 case, bad 1 case.The clinical effect of group B was better than that of group A, with statistically significant difference（P 〈0.05）. Conclusion Percutaneous placement locking compression plate internal fixation for treatment of closed tibiofibula fracture has clinical practicability and populariza： ion value.