| 徐浩,金成,钱晶晶,王路,赵嘉懿.三种固定技术治疗胫骨中下段骨折的短期临床效果比较[J].浙江中西医结合杂志,2021,31(3): |
| 三种固定技术治疗胫骨中下段骨折的短期临床效果比较 |
| Comparison of three techniques of internal fixation for middle and distal tibial fracture |
| 投稿时间：2020-07-11 修订日期：2020-09-10 |
| DOI： |
| 中文关键词: 胫骨中下段骨折 髓内钉固定 内侧MIPPO技术钢板固定 外侧切开复位钢板固定 |
| 英文关键词:middle and distal tibial fracture intramedullary nail fixation medial MIPPO technique plate fixation lateral open reduction plate fixation |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨髓内钉固定、内侧MIPPO技术钢板固定和外侧切开复位钢板固定治疗胫骨中下段骨折的临床疗效。方法 选择108例因胫骨中下段骨折接受内固定治疗并随访2年以上的患者进行疗效分析。根据手术方式的不同分为三组： 髓内钉固定42例、内侧MIPPO技术钢板固定31例和外侧切开复位钢板固定35例。 |
| 英文摘要: |
| Objective This study is to evaluate the clinical efficacy of intramedullary nailing, medial MIPPO technique and lateral open reduction plate fixation for the treatment of middle and distal tibial fractures. Methods 108 patients who underwent internal fixation for the middle and distal tibial fracture and more than 2 years follow-up were selected for results analysis. According to the surgical methods, there were three groups: group A (intramedullary nail fixation), 42 cases, group B (medial MIPPO technical plate fixation), 31 cases, and group C (lateral open reduction plate fixation), 35 cases. Results All patients achieved satisfactory reduction and internal fixation. The operation time in group A was significantly shorter than that in group B and group C (P <0.05). The bleeding in group C was significantly higher than that in group A and group B, and the differences were significant (P <0.05). There were no significant differences in fracture healing time, ankle joint mobility and AOFAS scores between the three groups (P > 0.05). Intra-operatively and post-operatively, 12 cases (11%) arose complications; 1 case of great saphenous vein injury in group A. 3 cases of great saphenous vein injury, 1 case of saphenous nerve injury, and 3 cases of plate irritation from group B. For group C, 1 case of infection and 3 cases of nonunion were found. Conclusion To treat the middle and distal tibial fracture, all three methods can achieve satisfactory fracture healing and functional recovery. Intramedullary nailing is a safe, effective and preferred treatment for the treatment of the middle and distal tibial fracture. |
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