经皮微创锁定加压钢板内固定治疗胫骨远端骨折的临床观察

The Clinical Observation of Minimally Invasive Percutaneous Locking Compression Plate Internal Fixation in Treatment of Distal Tibial Fractures

目的观察对比胫骨远端骨折治疗中应用传统切开复位内固定术与经皮微创锁定加压钢板内固定术的临床效果,为临床治疗方案选择提供参考。方法从2014年5月至2015年5月我院收治的胫骨远端骨折患者中抽取50例,随机分为对照组24例,试验组26例。对照组行传统切开复位内固定术治疗,试验组行经皮微创锁定加压钢板内固定术治疗,观察对比两组术中出血量、手术时间、住院时间、临床疗效及并发症情况。结果试验组术中出血量、手术时间、住院时间、术后并发症发生率显著少于对照组(P<0.05);两组骨折愈合情况对比差异显著(χ2=-5.573,P=0.042),有统计学意义。结论对胫骨远端骨折患者行经皮微创锁定加压钢板内固定术治疗疗效确切,优点突出,如术中出血少、手术时间短、出院快,且有效降低并发症发生风险,值得临床大力推广。

Objective To observe and compare the clinical effect of conventional open reduction and internal fixation with minimally invasive percutaneous locking compression plate internal fixation in treatment of distal tibial fractures,so as to provide the reference for the clinical therapy. Methods From May 2014 to May 2015,50 patients with distal tibial fractures were randomly divided into the control group with 24 patients,and the experimental group with 26 patients. The control group was given conventional open reduction and internal fixation,while the experimental group was treated with minimally invasive percutaneous locking compression plate internal fixation. The two groups were compared in terms of intraoperative blood loss,operation time,hospital stay,clinical effect and complications. Results The experimental group was superior to the control group in bleeding volume,operation time,hospital stay and postoperative complications（ P〈0. 05）,there was significant difference in the healing conditions of the two groups（ χ^2=-5. 573,P = 0. 042）. Conclusion Minimally invasive percutaneous locking compression plate internal fixation is obviously effective in the treatment of distal tibial fractures with the advantages of less bleeding,shorter operation time and hospital stay,and reducing the risk of complications,worthy to be clinically promoted.