Open reduction and osteosynthesis of common minimally invasive percutaneous plate osteosynthesis in treat-ment of high energy tibial fracture
10.3760/cma.j.issn.1008-6706.2016.15.021
- VernacularTitle:开放复位普通接骨与微创经皮钢板接骨术在高能量胫骨干骨折治疗中的效果比较
- Author:
Chang LIU
;
Jingyu CAI
- Publication Type:Journal Article
- Keywords:
Tibial shaft fracture;
Mininally invasion percutaneous plate osteosynthesis;
Fracture fixation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(15):2307-2310
- CountryChina
- Language:Chinese
-
Abstract:
Objective To open the reset common bone and open ordinary osteosynthesis(MIPPO)(in effect in the treatment of high energy tibial fracture.Methods High energy tibial fracture in 42 cases of patients,according to the condition of the patient and the treatment were divided into two groups,using open reduction and bone treatment (open group,22 cases),treated with MIPPO technique(MIPPO group,20 cases).The indicators of operation,postop-erative complications and clinical efficacy of the two groups were observed.Results The operation time,intraopera-tive bleeding volume,fracture healing time of the MIPPO group were (75.2 ±9.7)min,(107.3 ±11.3)mL,(13.1 ± 3)weeks,which of the open group were (73.4 ±10)min,(208.5 ±16.3)mL,(18.2 ±4.7)weeks,the two groups had no statistically significant differences in operative time(P >0.05),two groups of blood loss,fracture healing time, the differences were statistically significant(t =23.153,4.143,all P <0.05);the complication rate in the MIPPO group was 10.0%,tibial shaft fracture healing function excellent rate was 95.0%.The complication rate of the open groupwas healing function excellent rate was 72.7%,36.4% tibial shaft fracture,there were significant differences between the two groups(χ2 =12.316,22.964,all P <0.01).Conclusion MIPPO technology in the treatment of high energy tibial shaft fractures,with less bleeding,fracture healing fast,and the characteristics of a significant effect, which is worth promoting.
