摘要
目的探讨经皮微创接骨板技术(MIPPO)治疗胫骨骨折的手术经验和临床效果。方法法2010年8月~2012年3月治疗胫骨骨折患者60例,男37例,女23例;年龄17~69岁,乎均45岁。将60例胫骨骨折患者随机分为MIPPO组和开放手术组两种方法治疗,对比分析术中及术后的一般情况,并对各项指标进行统计学分析。结果两组患者在切口大小、手术时间、出血量、平均住院时间、骨折愈合时间方面比较,有统计学差异(<0.05);两组术后功能评价比较,无统计学差异。结论 MIPPO治疗胫骨长节段粉碎骨折具有创伤小、固定确实、撼染率低、骨折愈合率高等优点,符合生物学固定理念,是一种好的治疗方法。
Objective To investigate the operative experience and clinical results of the minimally invasive percutaneous plate oeteosynthesis(MIPPO)in the treatment of the long-segment comminuted fractures of tibia with.Methods MIPPO technique was applied in 32 out of 60 cases.Classic technique for fixation was applied in the other 31 cases.Intraoperative and postoperative general state of health Was analyzed.And the statistical analysis was applied in comparison of indicators between the two groups.Results The dif erences of two groups in incision size,operative time,bleeding volume,mean hospital stay,bone union time was significant(<0.05).Functional evaluation was not significantly dif erent.Conclusion MIPPO is a safe and ef ective technique for treating the long-segment comminuted fractures of tibia,which have advantages of minimal invasion,steady fixation,lower infection rate and higher union rate,meet the request of biological fixation.
作者
李文生
陈永峰
LI Wen-sheng;CHEN Yong-feng(Suining County People's Hospital,Suining 221200,Jiangsu,China)
关键词
微创
胫骨骨折
接骨术
Minimal y invasive
Tibia fracture
Osteosynthesis
