Effects of minimally invasive percutaneous plate osteosynthesis combined with locking compression plate fixation in treatment of patients with distal tibial fractures
Objective:To observe effects of minimally invasive percutaneous plate osteosynthesis combined with locking compression plate fixation in treatment of patients with distal tibial fractures.Methods:A prospective study was conducted on 68 patients with distal tibial fractures admitted to this hospital from January 2021 to January 2023.According to the random number table method,they were divided into control group and study group,34 cases in each group.The control group was treated with open reduction and internal fixation,while the study group was treated with minimally invasive percutaneous plate osteosynthesis combined with locking compression plate fixation.The surgery excellent and good rate,the perioperative indexes(fracture healing time,hospitalization time,intraoperative blood loss),the knee joint function[Lyshom knee scale(LKS),knee flexion degree],the pain[visual analogue scale(VAS)]score,the oxidative stress index[epinephrine(E),β-endorphin(β-EP),cortisol(Cor)]levels before and after the surgery,and the incidence of complications were compared between the two groups.Results:The surgery excellent and good rate in the study group was 88.24%(30/34),which was higher than 67.65%(23/34)in the control group,and the difference was statistically significant(P<0.05).The fracture healing time and the hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).1 month after the surgery,the LKS score and the knee flexion of the two groups were higher than those before the surgery,those of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).7 days after the surgery,the VAS scores of the two groups were lower than those before the surgery,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).7 days after the surgery,the levels of E,β-EP and Cor in the two groups were lower than those before the surgery,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was 8.82%(3/34),which was lower than 29.41%(10/34)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Minimally invasive percutaneous plate osteosynthesis combined with locking compression plate fixation in the treatment of the patients with distal tibial fractures can improve the surgery excellent and good rate,promote the prognosis,improve the knee joint function,reduce the pain and the oxidative stress response,and reduce the incidence of complications.Moreover,it is superior to open reduction and internal fixation.
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