微创liss钢板mippo技术治疗四肢长骨骨折的临床价值

Clinical Value of Minimally Invasive Liss Plate Mippo Technique in the Treatment of Long Bone Fractures of Extremities

目的探究微创liss钢板mippo技术治疗四肢长骨骨折的临床效果。方法选取本院2016年4月至2018年8月收治的四肢长骨骨折患者128例,采用摸球法分为A组和B组,各64例。A组采用微创liss钢板mippo技术治疗,B组采用切开复位内固定术治疗。出院前1d开展随访工作,观察治疗总有效率、术后并发症发生情况、手术时间、术中出血量、骨折愈合时间、下肢运动功能评分、步行能力评分及躯体功能评分。结果 A组治疗总有效率95.31%,高于B组的75.00%,A组并发症发生率3.13%,低于B组的18.75%,对比有统计学意义(P <0.05)。A组手术时间、骨折愈合时间均短于B组,术中出血量少于B组,A组下肢运动功能评分、步行能力评分及躯体功能评分均高于B组,对比有统计学意义(P <0.05)。结论微创liss钢板mippo技术治疗四肢长骨骨折的临床效果显著,可减少并症对干预效果造成的影响,改善其肢体功能,具有较高临床推广价值。

Objective To investigate the clinical effect of minimally invasive liss plate mippo technique in the treatment of long bone fractures of extremities.Methods A total of 128 patients with long bone fractures of the extremities who were admitted to our hospital from April to February 2018 in 2016 were divided into group A and group B,64 cases each.Group A was treated with minimally invasive liss plate mippo technique,and group B was treated with open reduction and internal fixation.Follow-up work was performed 1 day before discharge,and the total effective rate,postoperative complications,operation time,intraoperative blood loss,fracture healing time,lower limb motor function score,walking ability score and physical function score were observed.Results The total effective rate was 95.31%in group A,which was higher than 75.00%in group B.The complication rate in group A was 3.13%,which was lower than that in group B(18.75%).The difference was statistically significant(P<0.05).The operation time and fracture healing time of group A were shorter than that of group B.The intraoperative blood loss was less than that of group B.The lower limb motor function score,walking ability score and physical function score of group A were higher than those of group B.The comparison was statistically significant(P<0.05).Conclusion The clinical effect of minimally invasive liss plate mippo technique in the treatment of long bone fractures of the extremities is significant,which can reduce the effect of the syndrome on the intervention effect and improve the limb function.It has high clinical promotion value.