MIPPO+LCP内固定术治疗胫骨中下段骨折的效果分析

Effect analysis of MIPPO+LCP internal fixation in the treatment of middle and lower tibia fractures

目的分析对胫骨中下段骨折患者应用微创经皮钢板接骨术(MIPPO)+锁定加压钢板(LCP)内固定术治疗的价值。方法76例胫骨中下段骨折患者,随机分为观察组与对照组,各38例。对照组应用传统切开复位LCP内固定术治疗,观察组应用MIPPO+LCP内固定术治疗。比较两组围术期指标,骨折愈合质量,术后Rasmussen、Baird-jackson评分,并发症发生情况。结果两组手术时间比较差异无统计学意义(P>0.05)。观察组住院天数(8.26±1.52)d、骨折愈合时间(3.35±1.02)个月短于对照组的(12.36±3.62)d、(5.26±1.03)个月,术中失血量(83.16±10.15)ml、术后引流量(13.62±2.35)ml少于对照组的(113.62±9.89)、(24.62±3.85)ml,差异有统计学意义(P<0.05)。观察组骨折愈合优良率为94.74%,高于对照组的78.95%,差异有统计学意义(P<0.05)。术后,观察组Rasmussen、Baird-jackson评分分别为(27.62±2.16)、(91.69±8.35)分,均高于对照组的(24.32±1.95)、(83.62±6.16)分,差异有统计学意义(P<0.05)。观察组并发症发生率为5.26%,低于对照组的23.68%,差异有统计学意义(P<0.05)。结论胫骨中下段骨折患者应用MIPPO+LCP内固定术治疗效果满意,其创伤性小、并发症发生率低,且有利于关节功能恢复。

Objective To analyze the value of minimally invasive percutaneous plate osteotomy(MIPPO)+locking compression plate(LCP)internal fixation in the treatment of middle and lower tibia fractures.Methods A total of 76 patients with middle and lower tibia fractures were randomly divided into observation group and control group,with 38 cases in each group.The control group was treated with conventional open reduction LCP internal fixation,and the observation group was treated with MIPPO+LCP internal fixation.The perioperative indicators,fracture healing quality,postoperative Rasmussen and Baird-jackson scores,and complications were compared between the two groups.Results There was no statistically significant difference in operative time between the two groups(P>0.05).The length of hospitalization of(8.26±1.52)d and fracture healing time of(3.35±1.02)months in the observation group were shorter than those of(12.36±3.62)d and(5.26±1.03)months in the control group;the intraoperative blood loss of(83.16±10.15)ml and postoperative drainage of(13.62±2.35)ml in the observation group were less than those of(113.62±9.89)and(24.62±3.85)ml in the control group;the differences were statistically significant(P<0.05).The excellent rate of fracture healing was 94.74%in the observation group,which was higher than that of 81.58%in the control group,and the difference was statistically significant(P<0.05).After surgery,the Rasmussen and Baird-Jackson scores in the observation group were(27.62±2.16)and(91.69±8.35)points,which were higher than those of(24.32±1.95)and(83.62±6.16)points in the control group,and the differences were statistically significant(P<0.05).The complication rate was 5.26%in the observation group,which was lower than that of 15.79%in the control group,and the difference was statistically significant(P<0.05).Conclusion MIPPO+LCP internal fixation has a satisfactory effect for patients with middle and lower tibia fracture,which has little trauma,low complication rate and is beneficial to the recovery of joint function.