Effects of minimally invasive percutaneous plate osteosynthesis combined with locking compression plate internal fixation in treatment of patients with distal tibial fractures
Objective:To observe effects of minimally invasive percutaneous plate osteosynthesis combined with locking compression plate internal fixation in treatment of patients with distal tibial fractures.Methods:A prospective study was conducted on 60 patients with distal tibial fractures admitted to this hospital from January 2020 to June 2023.According to the random number table method,they were divided into study group and control group,30 cases in each group.The study group was treated with minimally invasive percutaneous plate osteosynthesis combined with locking compression plate internal fixation,while the control group was treated with open reduction plate internal fixation.The excellent and good rate of surgery,the perioperative indexes(hospitalization time,fracture healing time,intraoperative blood loss)levels,the ankle function[American orthopaedic foot and ankle society-hindfoot scale(AOFAS-AH)],the pain[visual analogue scale(VAS)]score,and the stress indexes[epinephrine(E),β-endorphin(β-EP),cortisol(Cor)]before and after the surgery,and the incidence of complications were compared between the two groups.Results:The excellent and good rate of surgery in the study group was 93.33%(28/30),which was higher than 73.33%(22/30)in the control group,and the difference was statistically significant(P<0.05).The hospitalization time and the fracture healing 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 AOFAS-AH score of the study group was higher than that of the control group;7 days after the surgery,the VAS score of the study group was lower than that of the control group;and the differences were statistically significant(P<0.05).3 days after the surgery,the levels of E,β-EP and Cor in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Minimally invasive percutaneous plate osteosynthesis combined with locking compression plate internal fixation in the treatment of the patients with distal tibial fractures can improve the excellent and good rate of surgery and the ankle function scores,improve the perioperative index levels,and reduce the pain scores and stress index levels.Moreover,it is superior to open reduction and plate internal fixation.