经皮解剖锁定钢板微创治疗胫骨下段骨折的临床效果

Clinical effect of minimally invasive treatment of percutaneous anatomic locking plate in distal tibia fracture

目的 探讨经皮解剖锁定钢板微创治疗胫骨下段骨折的临床效果。方法 选择本院2012年1月~2014年1月收治的100例胫骨下段骨折患者为观察对象,将其随机分为对照组和实验组,对照组患者接受切开复位内固定治疗,实验组患者接受经皮解剖锁定钢板微创治疗,对比分析两组患者的临床治疗效果。结果 实验组患者的手术时间为（47.1±2.3）min,手术出血量为（34.8±2.3）ml,骨折愈合时间为（10.1±0.8）周;对照组患者分别为（58.8±3.3）min、（73.4±3.6）ml、（14.0±3.3）周,实验组患者的临床治疗总优良率为90%,对照组为70%,两组差异有统计学意义（P〈0.05）。结论 经皮解剖锁定钢板微创治疗胫骨下端骨折具有较为满意的临床效果,临床推广和应用价值较高。

Objective To explore the clinical effect of minimally invasive treatment of percutaneous anatomic locking plate in distal tibia fracture. Methods 100 patients with distal tibia fracture admitted into our hospital from January 2012 to January 2014 were selected as observation subjects.They were randomly divided into control group and experi- mental group.In the control group,therapy of open reduction and internal fixation was agreed on by patients,while in the experimental group,minimally invasive treatment of pereutaneous anatomic locking plate was applied.The clinical curative effect in the two groups was compared and analyzed. Results In the experimental group,the mean operation time was （47.1±2.3） min,average blood loss during surgery was （34.8±2.3） ml,and healing time of fracture was （10.1±0.8） weeks. These indexes in the control group were （58.8±3.3） min,（73.4±3.6） ml and （14.0±3.3） weeks respectively.The clinical excellent and good rate in the experimental group was 90%,while in the control group,it was 70%,the difference was sta- tistically significant （P〈0.05）. Conclusion Outcomes of the medical research testify that patient with distal tibia fracture can obtain satisfying clinical effect after accepting minimally invasive treatment of percutaneous anatomic locking plate, which has a high value on clinical expansion and application.