两种内固定方式治疗胫骨下段骨折的疗效比较
Comparison of the efficacy of two internal fixation methods for treatment of lower tibial frac-tures
孙勇 1王贺1
作者信息
- 1. 湖北省中西医结合医院骨科,湖北 武汉 430061
- 折叠
摘要
目的 比较胫骨髓内钉固定和微创经皮钢板内固定技术(MIPPO)治疗胫骨下段骨折的疗效.方法 根据治疗方式不同将86 例胫骨下段骨折患者分为髓内钉组(43 例,采用胫骨髓内钉固定治疗)和MIPPO组(43 例,采用MIPPO治疗).比较两组手术时间、骨折愈合情况、踝关节活动度.采用Johner-Wruhs评分评价疗效.结果 患者均获得随访,时间7～25 个月.手术时间髓内钉组短于MIPPO组(P＜0.01).骨折愈合时间两组比较差异无统计意义(P＞0.05).末次随访时踝关节背伸及跖屈活动度、Johner-Wruhs评分优良率两组比较差异均无统计学意义(P＞0.05).结论 胫骨髓内钉固定和MIPPO治疗胫骨下段骨折均能获得很好的临床疗效,对这两种技术的准确理解和熟练操作是提高疗效和减少并发症的关键.
Abstract
Objective To compare the efficacy of tibial intramedullary nail(IMN)fixation and minimally invasive percutaneous plate osteosynthesis(MIPPO)in the treatment of lower tibial fractures.Methods According to different treatment methods,86 patients with lower tibial fractures were randomly divided into IMN group(43 cases,using IMN fixation treatment)and MIPPO group(43 cases,using MIPPO treatment).The operative time,fracture healing situa-tion,ankle activity were compared between the two groups.Johner-Wruhs score was used to evaluate the curative effect.Results All patients were followed up for 7～25 months.The operative time in IMN group was shorter than that in MIPPO group(P＜0.01),and the fracture healing time was not statistically significant between the two groups(P＞0.05).At the last follow-up,there were no statistical differences in ankle dorsiflexion,plantar flexion and the ex-cellent-good rate of Johner-Wruhs scores between the two groups(P＞0.05).Conclusions In the treatment of lower tibial fracture,both IMN fixation and MIPPO can achieve good clinical efficacy.Accurate understanding and skillful operation of these two techniques are the key to improve efficacy and reduce complications.
关键词
胫骨下段骨折/髓内钉/微创经皮接骨板内固定技术Key words
lower tibial fractures/intramedullary nail/minimally invasive percutaneous plate osteosynthesis引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据