胫前减张切口结合锁定加压钢板内固定治疗老年胫腓骨远端骨折的疗效观察

Reduce Tension Incision Through Anterior Tibial Fixation Combined with locking Compression Plate Fixation for Elderly Patients with Distal Tibia and Fibula Fractures

目的探讨胫前减张切口结合锁定加压钢板(LCP)内固定治疗老年胫腓骨远端骨折的临床效果。方法将120例老年胫腓骨远端骨折患者随机分为减张组和常规组,比较两组患者手术时间、术中失血量、术后住院时间、骨折愈合时间、并发症发生状况和临床疗效的差异。结果两组患者手术时间、术中失血量和住院时间比较差异无统计学意义(P>0.05);减张组患者愈合时间低于常规组(P<0.05);两组患者并发症比较差异有统计学意义(P<0.05);两组患者AOFAS评分等级比较差异无统计学意义(P>0.05)。结论胫前减张切口结合LCP内固定是治疗老年胫腓骨远端骨折的有效方案。

OBJECTIVE To explore the clinical effacy of combination of tibia reduce tension incision and locking compression plate （LCP） fixation in elderly patients with distal tibia and fibula fractures. METHODS 120 cases of distal tibial and fibular fractures in el- derly patients were randomly divided into tension group and routine group, compared the indicators of operation time, intraoperative blood loss, postoperative hospital stay, fracture healing time, complications and clinical effect in the two group. RESULTS The dif- ference of operation time, intraoperative blood loss and postoperative hospital stay in the two group were not statistically significant （/9〉0.05）; Healing time in tension group was lower than routine group（P〈0.05）, there was statistically significant difference between the two groups of patients with complications （P〈0.05）, and no statistically significant of AOFAS scores grade in the two group （P〉 0.05）. CONCLUSIONS Anterior tibial fixation combined with LCP fixation was an effective programs for the treatment of elderly pa- tients with distal tibia and fibula fractures.