闭合手法复位和切开复位经皮内侧插入锁定钢板治疗胫骨下段骨折疗效分析

Analysis of Curative Effect of Close Manipulative Reduction and Open Reduction and Percutaneous Insertion of Locking Plate in Treatment of Distal Tibial Fracture

目的探析闭合手法复位和切开复位经皮内侧插入锁定钢板治疗胫骨下段骨折疗效。方法选取该院2013年1月—2018年5月期间收治的胫骨下段骨折患者60例为对象进行研究,利用双盲随机法将其分为两组,各30例。两组均实施经皮内侧插入锁定钢板固定骨折治疗方法 ,观察组采取闭合手法复位,参照组采取切开复位。观察比较两组临床疗效以及骨折愈合情况。结果观察组治疗优良率93.33%(28/30)较参照组73.33%(22/30)显著较高,数据对比差异有统计学意义(χ~2=4.320 0,P=0.037 6,P<0.05)。观察组骨折愈合率100.0%(30/30)较参照组86.67%(26/30)显著较高,数据对比差异有统计学意义(χ~2=4.285 7,P=0.038 4 <0.05),且组间对比P<0.05,差异具有统计学意义。结论闭合复位经皮内侧插入锁定钢板治疗胫骨下段骨折的疗效非常显著,既能提升患者关节活动功能,又能提升其骨折愈合率,因此值得临床应用推广。

Objective To study the curative effect of close manipulative reduction and open reduction and percutaneous insertion of locking plate in treatment of distal tibial fracture. Methods 60 cases of patients with distal tibial fracture admitted and treated in our hospital from January 2013 to May 2018 were selected and randomly divided into two groups with 30 cases in each, both group used the percutaneous insertion of locking plate, while the observation group used the close manipulative reduction, and the control group used the open reduction, and the clinical curative effect and fracture healing conditions were compared and observed. Results The treatment excellent and good rate in the observation group was obviously higher than that in the control group[93.33%（28/30） vs 73.33%（22/30） ]（χ^2=4.320 0, P= 0.037 6）, and the differences between groups were statistically significant P〈0.05, and the fracture healing rate was obviously higher than that in the control group [100.0%（30/30） vs 86.67%（ 26/30）]（χ^2=4.285 7,P=0.038 4）, and the difference was statistically significant（P〈0.05）. Conclusion The curative effect of close manipulative reduction and percutaneous insertion of locking plate is very obvious, which can improve the joint activity function and improve the fracture healing rate, therefore, it is worth clinical application and promotion.