微创经皮锁定加压钢板内固定术治疗老年四肢骨折患者的效果

Effect of minimally invasive percutaneous locking compression plate internal fixation in treatment of elderly patients with limb fractures

目的观察微创经皮锁定加压钢板内固定术治疗老年四肢骨折患者的效果。方法回顾性分析88例老年四肢骨折患者的临床资料。根据接受内固定手术方案不同分为常规组和微创组。42例接受传统切开复位钢板内固定术治疗的患者设为常规组,46例接受微创经皮锁定加压钢板内固定术治疗的患者设为微创组。比较2组围术期基本指标、并发症发生率、视觉模拟疼痛评分法(VAS)评分、骨折愈合时间以及骨折恢复效果。结果微创组手术时间、住院时间均短于常规组,术中出血量和术后3、7 d VAS评分均优于常规组,差异均有统计学意义(P<0.05);微创组手术并发症发生率为4.35%,显著低于常规组的21.43%(P<0.05);术后6个月随访结果表明,2组钢板位置稳固,均未发生钢板断裂和内固定松动。微创组骨折愈合时间显著短于常规组(P<0.05),骨折恢复优良率显著高于常规组(P<0.05)。结论微创经皮锁定加压钢板内固定术治疗四肢骨折效果显著,能减轻手术创伤和降低并发症发生率,促进骨折骨性愈合。

Objective To observe effect of minimally invasive percutaneous locking compression plate internal fixation in treatment of elderly patients with limb fractures.Methods The clinical data of 88 elderly patients with limb fracture was analyzed retrospectively.The patients were divided into two groups according to different operation plans,among whom 42 patients treated with traditional open reduction plate internal fixation were selected as conventional group,and 46 patients treated with minimally invasive percutaneous locking compression plate internal fixation were selected as minimally invasive group.The perioperative basic indicators,incidence of complications,Visual Analogue Scale(VAS)score,fracture healing time and fracture recovery effect were compared between the two groups.Results Compared with the conventional group,operation time and hospitalization time of the minimally invasive group was shorter,perioperative bleeding volume and VAS scores at 3,7 d after operation were significantly lower(P<0.05);the postoperative complication rate of the minimally invasive group was 4.35%,which was significantly lower than 21.43%of the conventional group(P<0.05).The results of follow-up at 6 months after surgery showed that patients in two groups had stable plate internal fixation,and no fracture of steel plate and loosening of internal fixation were found.The healing time of fracture in the minimally invasive group was significantly shorter(P<0.05),excellent and good rate of fracture recovery in the minimally invasive group was 97.83%,which was significantly higher than 83.33%in the conventional group(P<0.05).Conclusion Minimally invasive percutaneous locking compression plate internal fixation has a significant effect in the treatment of limb fractures,which can relieve surgical trauma and incidence of complications,and promote bone healing of fractures.