微创经皮插入钢板治疗胫骨中下段骨折临床研究
Clinical Study of Minimal y Invasive Percutaneous Insertion of Steel Plate for Treatment of Fracture of Middle and Lower Segment of Tibia
蒙向铖 1覃小武 1韦东 1李林峰1
作者信息
- 1. 柳江县人民医院骨科 广西柳州 545100
- 折叠
摘要
目的：探讨微创治疗胫骨中下段骨折的治疗方法。方法对66例胫骨中下段骨折的患者分别应用微创经皮插入钢板（观察组）和切开复位内固定（对照组）治疗，分析两种方法治疗对骨折愈合及踝关节功能恢复情况的影响。结果观察组患者手术切口长度、住院时间明显短于对照组，差异有统计学意义(P<0．05)，术后骨折愈合时间两组无统计学差异,Johner-wruhs标准评定治疗指标观察组明显优于对照组，两组比较差异均有统计学意义(P<0．05)。结论微创经皮插入钢板治疗胫骨中下段骨折较传统手术方法具有方便、可靠，创面小，感染率低，有利于软组织修复和骨折愈合等优点，是较为理想的内固定方法，值得临床推广使用。
Abstract
Objective: To discuss the method of minimal y invasive treatment for fracture of middle and lower segment of tibia. Method: 66 patients with fracture of middle and lower segment of tibia were treated with minimal y invasive percutaneous insertion of steel plate (observation group) and open reduction and internal fixation (control group) separately. Impacts of the two treatment methods on conditions of fracture healing and ankle joint recovery were analyzed. Result: Surgical length of incision and hospital stays of observation group were obviously shorter than control group (P<0.05). There was no significant difference between postoperative healing time of the 2 groups. On treatment indicators evaluated by Johnner-wruhs standard, no significant difference existed between the 2 groups (P>0.05). Conclusion: Minimal y invasive percutaneous insertion of steel plate for treatment of fracture of middle and lower segment of tibia has advantages of convenience, reliability, smal wound surface, low infection rate and benefit for soft tissue recovery and fracture healing, so it is an ideal internal fixation method and worth of being popularized in clinical application.
关键词
胫骨下段骨折/微创/钢板/内固定Key words
fracture of middle and lower segment of tibia/Minimal y Invasive/Steel Plate/Internal Fixation引用本文复制引用
出版年
2014
NETL
NSTL
万方数据