微创经皮钢板固定术与交锁髓内钉治疗胫骨骨折疗效对比

Comparison of Therapeutic Effects of Minimally lnvasive Percutaneous Plate Osteosynthesis and Interlocking Intramedullary Nail in Treatment of Tibial Fractures

目的比较微创经皮钢板固定术与交锁髓内钉治疗胫骨骨折的疗效。方法收集2010--2014年丹东市中心医院收冶的闭合性胫骨骨折患者103例，分为微创经皮钢板内固定术组（MIPPO组）50例和交锁髓内钉组（IMN组）53例，比较两组踝关节功能恢复和并发症发生情况。结果两组各时间点Kofoed评分差异无统计学意义伊〉0．05）；MIPPO组畸形愈合和关节疼痛发生率低于IMN组，差异有统计学意义沪〈0．05）。结论微创经皮钢板固定术与交锁髓内钉治疗胫骨骨折效果大致相当，但是微创经皮钢板固定术在并发症方面略优于交锁髓内钉法。

Objective To compare the therapeutic effects of minimally invasive percutaneous plate osteosynthesis and interlocking intramedullary nail in the treatment of tibial fractures. Methods One hundred and three patients with closed tibial fractures admitted to Dandong Central Hospital from 2010 to 2014 were collected and divided into minimally invasive percutaneous plate fixation group （MIPPO group） with 50 cases and interlocking intramedullary nail group （IMN group） with 53 cases. The ankle joint function recovery and complications of the two groups were compared. Results There was no statistical significance of the difference between the two groups in Kofoed score at each time point （P 〉 0.05）. The rate of malunion and joint pain of MIPPO group was lower than that of IMN group, and the difference was statistically significant （P 〈 0.05）. Conclusion Minimally invasive percutaneous plate fixation and interlocking intramedullary nail in the treatment oftibial fractures are approximately the same with regard to the therapeutic effect, but minimally invasive percutaneous plate fixation is slightly better than the interlocking intramedullary nail in terms of complications.