Clinical Effect of Small Incision Assisted Reduction Limited Internal Fixa-tion Combined with Stent External Fixation in Treatment of Comminuted Fracture of Distal Tibia
Objective To explore the therapeutic effect of small incision assisted reduction fixation plus stent external fixation on patients with tibial fractures.Methods A total of 80 patients with comminuted distal tibial fractures admit-ted to Jiangle County General Hospital of Fujian Province from March 2019 to March 2022 were selected randomly as the research objects.According to different treatment methods,the patients were divided into control group and obser-vation group,with 40 cases in each group.The control group was treated with open reduction and internal fixation of distal tibial plate;the observation group was treated with distal tibial internal and/or lateral small incision assisted reduction,limited internal fixation combined with external fixator.The surgical treatment effect and recovery of the two groups were compared.Results There was no statistically significant difference in surgical duration and blood loss between the two groups(both P>0.05).The hospitalization and wound healing time in the observation group were shorter than those in the control group,and the differences were statistically significant(both P<0.05).The excellent rate of the observation group was 85.0%,which was better than the control group's 62.5%,and the difference was sta-tistically significant(χ2=5.230,P<0.05).The incidence of complications in the observation group was 5.0%,which was lower than the control group's 20.0%,and the difference was statistically significant(χ2=4.114,P<0.05).After treatment,the quality of life in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of small incision assisted reduction and limited internal fixation combined with stent external fixation has better clinical effect,can shorten healing and hospitalization time,and has fewer complications,so it is a good fixation method.
Limited internal fixation with small incision assisted reductionExternal fixed frameComminuted fracture of the distal tibia
NETL
NSTL
万方数据
维普
