摘要
目的通过对微创经皮钢板与带锁髓内钉治疗胫腓骨骨折的回顾性随访分析,比较两者的特点及临床适应证的选择。方法采用回顾性对比分析,比较胫腓骨骨折中使用带锁髓内钉组与微创经皮钢板组术中及术后的一般情况。结果两组患者在手术时间、出血量、切口大小、完全负重时间等方面差异显著(P＜0．05),但是在骨折愈合时间、X 线暴露时间、Johner-Wruhs 评价、并发症的发生等方面差异并无显著性。结论两者都具有手术不剥离骨膜、创伤小等优点,带锁髓内钉适合胫骨骨干及胫骨多段骨折,微创经皮钢板对胫骨骨干或干骺端的骨折都适合。
Objective Though the clinically retrospective follow-up for the patients with peroneotibial fracture treated either by interlocking intramedullary nail or by MIPPO, to compare their properties and options of clinical indications. Methods The data of 56 patients with peroneotibial fracture were retrospectively analyzed, and patients＇ general state during the operation and after the operation was compared. Results The clinical follow-up revealed that there were significant differences in operation time, hemorrhage volume, the length of cut, weight bearing time between the two methods, however, there was no significant difference in bone healing time, X-ray exposure time, Johner-Wruhs system and complications between the two methods. Conclusion Both ways are effective in the treatment of peroneotibial fracture. The Interlocking intramedullary nail of tibia should be the first choice of the tibial shaft and malunion of tibial fractures. MIPPO is a safe and effective technique in the treatment of tibial shaft and distal tibia metaphyseal fracture.
出处
《河北医药》
CAS
2005年第12期888-889,共2页
Hebei Medical Journal
关键词
胫腓骨骨折
骨折固定
带锁髓内钉
微创经皮钢板
peroneotibial fracture
fracture fixation
internal
interlocking intramedullary nail
MIPPO
