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微创经皮锁定加压钢板内固定治疗胫骨远端骨折41例临床观察 被引量:7

Clinical observation of the treatment of distal tibial fracture with minimally invasive percutaneous locking compression plate fixation
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摘要 目的观察分析采用微创经皮锁定加压钢板内固定治疗胫骨远端骨折的方法及临床疗效。方法选取41例胫骨远端骨折患者为观察组,分析其一般资料、手术方法及临床疗效,并与对照组30例传统切开复位钢板内固定患者临床结果进行比较。结果观察组手术时间短于对照组,术中出血量低于对照组,骨折愈合时间较对照组短。两组患者并发症几率比较差异有统计学意义,观察组术后踝关节功能优良率优于对照组。结论采用微创经皮锁定加压钢板内固定治疗胫骨远端骨折临床疗效显著,手术创伤较小,内固定稳固,患者术后早期功能锻炼良好,远期踝关节功能恢复优良,值得临床推广应用。 Objective To observe and analyze the method and clinical effect of minimally inva- sive percutaneous locking compression plate internal fixation on distal tibial fracture. Methods Forty- one patients with tibial distal fracture were selected tion method and clinical effect was analyzed, then as observation group, the general information, opera- clinical results were compared with 30 patients with traditional open reduction and plate internal fixation in the control group. Results The operating time of observation group was shorter than that of the control group, intraoperative bleeding volume was lower than that of the control group, and fracture healing time was shorter than that of the control group. There was significant difference in complications rate between the groups. The good rate of ankle joint function after surgery of observation group was superior to that of the control group. Conclusions The clinical effect of minimally invasive percutaneous locking compression plate internal fixation on distal tibial frac- ture is obvious, the surgical trauma is small, internal fixation is stable, postoperative early functional ex- ercise is good, long-term ankle function restoration is good, so it is worthy of clinical application.
作者 高晓健
出处 《中国实用医刊》 2014年第8期41-42,共2页 Chinese Journal of Practical Medicine
关键词 胫骨远端骨折 锁定加压钢板 内固定 微创 Distal tibial fracture Locking compression plate Internal fixation Minimal invasion
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