微创钢板内固定与切开复位钢板内固定在胫骨骨折治疗中的比较

Comparison of Minimally Invasive Plate Internal Fixation and Open Reduction Plate Internal Fixation in the Treatment of Tibial Fractures

目的探究胫骨骨折行微创钢板内固定与切开复位钢板内固定治疗的临床效果。方法选取该院2016年1月—2019年10月收治的62例胫骨骨折患者为研究对象,按照随机数字表法分为两组,对照组行传统切开复位钢板内固定治疗,观察组行微创钢板内固定治疗,对比两组关节功能恢复情况、围术期指标、并发症发生情况。结果观察组手术时间、骨折临床愈合时间、骨痂形成时间分别为(42.12±1.28)min、(12.02±1.08)d、(10.02±1.25)周,均短于对照组,术中出血量为(72.15±1.25)mL,少于对照组(t=47.867、15.258、14.793、307.277,P<0.05);观察组优良率为87.09%,高于对照组(χ^2=9.182,P<0.05);观察组并发症发生率为6.45%,低于对照组(χ^2=9.226,P<0.05)。结论胫骨骨折行微创钢板内固定术的疗效优于与切开复位钢板内固定术。

Objective To explore the clinical effect of minimally invasive plate fixation and open reduction plate fixation for tibial fractures. Methods A total of 62 patients with tibial fractures admitted to the hospital from January2016 to October 2019 were selected as the research subjects. According to the random number table method, it was divided into two groups. The control group received traditional open reduction plate internal fixation, and the observation group received minimally invasive plate internal fixation. The recovery of joint function, perioperative indicators, and complications of the two groups were compared. Results The operation time, fracture healing time, and callus formation time in the observation group were(42.12 ± 1.28) min,(12.02 ± 1.08) d, and(10.02 ± 1.25) weeks,which were shorter than the control group, and the intraoperative blood loss was(72.15±1.25) mL, less than the control group(t=47.867, 15.258, 14.793, 307.277, P<0.05);the excellent rate of the observation group was 87.09%, higher than the control group(χ^2=9.182, P <0.05);the observation group of the complication rate was 6.45%, lower than the control group(χ^2=9.226, P<0.05). Conclusion The effect of minimally invasive plate internal fixation for tibial fracture is better than open reduction plate internal fixation.