Reduction effect of triangular anchor reduction forceps and point reduction forcepsin distal tibial fracture:A prospective comparative study
10.3969/j.issn.1006-5725.2024.14.014
- VernacularTitle:新型三角锚复位钳与点式复位钳在髓内钉治疗长斜形或螺旋形胫骨远端骨折中的复位效果:一项前瞻性对比研究
- Author:
Xin ZHANG
1
;
Xinzhong XU
;
Zhonghan WU
;
Tao LI
Author Information
1. 安徽医科大学第二附属医院创伤骨科 (合肥 230601)
- Keywords:
distal tibial fracture;
reduction forceps;
intramedullary nail
- From:
The Journal of Practical Medicine
2024;40(14):1981-1987
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of triangular anchor reduction forceps and towel forceps in the treatment of long oblique or spiral distal tibial fractures.Methods The data of 58 patients admitted to the Department of Traumatic Orthopaedics in Second Affiliated Hospital of Anhui Medical University from June 2019 to March 2021 were analyzed prospectively.According to the reduction methods during operation,they were divided into point reduction forceps group(n=26)and triangle anchor reduction forceps group(n=32).The operation time,intraoperative fluoroscopy times,intraoperative blood loss,postoperative fracture reduction quality,hospital stay,fracture healing time,American orthopedic foot and ankle society(AOFAS)score,curative effect and com-plications at the last follow-up were compared between the two groups.Results All patients participated in the follow-up for more than one year.There was no significant difference in age,sex,basic diseases and injury mechanism between the two groups.The operation time and fluoroscopy times of patients in triangle anchor reduction group were significantly lower than those in point reduction forceps group(P<0.05),while the quality of fracture reduc-tion was higher than that in point reduction forceps group(P<0.05),and there was no significant difference in other perioperative indexes.The fracture healing time of patients in triangle anchor reduction group was shorter,and the ankle joint function was better than that in point reduction forceps group(P<0.05).There was no signifi-cant difference in the incidence of various complications between the two groups,but the overall incidence of complications in the triangle anchor reduction group was significantly lower(P<0.05).Conclusion Triangular anchor reduction forceps can improve the quality of fracture reduction,shorten the healing time of fracture,reduce the occurrence of complications,reduce the operation time and the number of fluoroscopy during operation,and there is no obvious increase in local infection.It is an effective and reliable reduction method.
