Effect of Minimally Invasive Percutaneous Plate Fixation on Tibial Fractures and Its Effect on Inflammatory Factors
Objective:To investigate the effect of minimally invasive percutaneous plate internal fixation on tibial fracture and its effect on inflammatory factors.Method:Eighty-four patients with tibial fracture admitted to the Second Hospital of Longyan from April 2020 to April 2023 were selected as the study objects and divided into control group and minimally invasive group according to different surgical programs,with 42 cases in each group.Traditional open reduction internal fixation was performed in the control group,and percutaneous minimally invasive plate internal fixation was performed in the minimally invasive group.The perioperative relevant indexes,postoperative inflammatory response,postoperative pain stress related indexes,postoperative complications and the good and good rate of treatment effect were compared between the two groups.Result:The minimally invasive group perioperative indexes were better than those of control group(P<0.05).After treatment,levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and interleukin-8(IL-8)of the minimally invasive group were lower than those of control group(P<0.05).The levels of substance P(SP),prostaglandin E2(PGE2)and Neuropeptide Y(NPY)of minimally invasive group were lower than those of control group(P<0.05).The minimally invasive group total incidence of postoperative complications was lower than that of the control group(P<0.05).After treatment,the excellent-effective rate in minimally invasive group was higher than that in control group(P<0.05).Conclusion:Minimally invasive percutaneous plate internal fixation for tibial fractures is ideal,which can effectively improve perioperative indicators.It plays a good control role in the level of inflammatory factors,and also canrelieve postoperative pain,reduce the occurrence of postoperative complications,and effectively improve the rate of excellent treatment effect.
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