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微创经皮锁定钢板内固定术治疗胫腓骨骨折的效果

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目的 探讨微创经皮锁定钢板内固定术治疗胫腓骨骨折患者的疗效,为胫腓骨骨折的临床治疗提供指导.方法 选取2022年1-12月在聊城市茌平区第二人民医院接受治疗的胫腓骨骨折患者60例,根据手术方式不同将其分为对照组和观察组各30例.对照组行切开复位普通钢板内固定术,观察组行微创经皮锁定钢板内固定术.比较两组切口长度、手术时间、骨折愈合时间、踝关节功能优良率及术后并发症发生率.结果 观察组切口长度、手术时间及骨折愈合时间均短于对照组,差异均有统计学意义(P<0.05).观察组术后并发症发生率为6.67%,低于对照组的26.67%,差异有统计学意义(x2=4.320,P<0.05).两组患者踝关节功能优良率比较,差异无统计学意义(P<0.05).结论 胫腓骨骨折患者通过行微创经皮锁定钢板内固定术治疗,切口小,骨折愈合速度更快,且术后并发症发生率更低,踝关节功能恢复效果良好,值得在临床中推广应用.
Effect of minimally invasive percutaneous locking plate internal fixation in the treatment of tibial and fibular fractures
Objective To explore the efficacy of minimally invasive percutaneous locking plate internal fixation in the treatment of patients with tibial and fibular fractures,in roder to provide guidance for the clinical treatment of tibial and fibular fractures.Methods Sixty patients with tibial and fibular fractures who received treatment in Liaocheng City Chiping District Second People's Hospital from January to December 2022 were selected and divided into control group and observation group with 30 cases in each group according to the different surgical methods.The control group underwent open reduction with ordinary steel plate internal fixation,while the observation group underwent minimally invasive percutaneous locking plate internal fixation.The incision length,surgical time,fracture healing time,the excellent and good rates of ankle joint function and the incidence of postoperative complications between the two groups were compared.Results The incision length,surgical time and fracture healing time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 6.67%,which was lower than 26.67%in the control group,and the difference was statistically significant(x2=4.320,P<0.05).There was no significant difference in the excellent and good rate of ankle joint function between the two group(P<0.05).Conclusion Patients with tibial and fibular fractures were treated with minimally invasive percutaneous locking plate internal fixation,which had a smaller incision,faster fracture healing speed,and a lower incidence of postoperative complications,the recovery effect of ankle joint function was better,which was worthy of clinical promotion and application.

Tibial and fibula fracturesMinimally invasive percutaneous locking plate internal fixationOpen reduction and ordinary steel plate internal fixation

孙绍勇

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聊城市茌平区第二人民医院骨外科,山东 聊城 252100

胫腓骨骨折 微创经皮锁定钢板内固定术 切开复位普通钢板内固定术

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(12)