经皮锁定加压钢板内固定术治疗胫骨下段骨折的效果

Percutaneous Locking Compression Plate Fixation for Distal Tibial Fracture

目的探讨经皮锁定加压钢板内固定术治疗胫骨下段骨折的临床效果。方法将74例胫骨下段骨折患者按随机数字表法分为研究组和对照组,每组37例。研究组行经皮锁定加压钢板内固定术,对照组行切开复位锁定加压钢板内固定术。观察2组手术时间、术中出血量、住院时间、骨折愈合时间和术前、术后6个月生活质量评分及临床疗效、并发症发生率。结果研究组优良率为89.19%,明显高于对照组的64.86%(P<0.05)。研究组术中出血量较对照组少,手术时间、住院时间、骨折愈合时间均较对照组短(均P<0.05)。研究组术后6个月生活质量评分较对照组升高更明显(P<0.05)。研究组总并发症发生率为8.11%,明显低于对照组的27.03%(P<0.05)。结论采用经皮锁定加压钢板内固定术治疗胫骨下段骨折有较好的效果,可减少术后并发症的发生,改善患者的预后。

Objective To explore the clinical efficacy of percutaneous locking compression plate fixation in the treatment of distal tibial fracture.Methods Seventy-four patients with distal tibial fracture were randomly divided into two groups,with 37 patients in each group.The study group received percutaneous locking compression plate fixation.The control group underwent open reduction and locking compression plate fixation.The operation time,intraoperative blood loss,hospital stay,fracture healing time,quality of life,clinical efficacy and incidence of complications were observed in both groups.Results The excellent and good rate in study group（89.19%）was higher than that in control group（64.86%）（P〈0.05）.Furthermore,compared with control group,intraoperative blood loss was reduced,operation time,hospital stay and fracture healing time were shortened and score of 6-month quality of life was increased in study group（P〈0.05）.The incidence of complications in study group（8.11%）was lower than that in control group（27.03%）（P〈0.05）.Conclusion Percutaneous locking compression plate fixation is effective for distal tibial fracture,and can reduce the occurrence of postoperative complications and improve the prognosis of patients.