胫骨远端骨折髓内针及钢板内固定的疗效对比

Comparison of therapeutic effects of intramedullary nail and plate internal fixation for distal tibial fractures

目的对胫骨多向锁定带锁髓内针(TMLIIN)和经皮微创胫骨远端钢板固定(MIPO)治疗胫骨远端骨折的临床效果对比分析。方法在本院2014年9月-2016年9月实施治疗的胫骨远端骨折患者中随机选取60例,依照患者治疗方式将其分成两组,分别为MIPO组及TMLIIN组,对比两组患者临床效果及并发症发生率。结果和MIPPO组相比,TMLIIN组患者的手术时间、术中出血量显著偏少,对比P<0.05。结论在胫骨远端骨折患者临床治疗中,胫骨多向锁定带锁髓内针治疗效果优于经皮微创胫骨远端钢板固定,值得推广。

Objective To Compare and analyze about the clinical effects of tibial interlocking intramedullary nail（TMLIIN） and minimally invasive percutaneous plate fixation（MIPO） in the treatment of distal tibial fractures. Method 60 cases of patients with bone fracture who were treated with distal tibia in our hospital from September 2014 to September 2016 were randomly selected. All cases were divided into two groups according to the treatment method, they were MIPO group and TMLIIN group. The incidence rate of complication and the clinical effect in two groups were compared. Results Compared with MIPPO group, the operation time and intraoperative blood loss in group TMLIIN were significantly less,（ P 0.05）. Conclusion In the clinical treatment of patients with distal tibial fractures, the treatment effect of tibial interlocking intramedullary nail is better than that of percutaneous minimally invasive distal tibial plate fixation,which is worthy of promotion.