Comparison of hidden blood loss between minimally invasive percutaneous locking plate fixation and intramedullary nail fixation in the treatment of tibial shaft fracture.
10.12200/j.issn.1003-0034.2020.08.007
- Author:
Xin-Zhou HUANG
1
;
Bo WU
1
;
Yuan-Yuan LI
1
;
Hua-Song LUO
1
;
Ke-Bin LIU
1
Author Information
1. Department of Orthopaedics, the First Affiliated Hospital of Changjiang University, Jingzhou 434000, Hubei, China.
- Publication Type:Journal Article
- Keywords:
Blood loss, surgical;
Fracture fixation, internal;
Fracture fixation, intramedullary;
Tibial fracture
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Bone Nails;
Bone Plates;
Female;
Fracture Fixation, Internal;
Fracture Fixation, Intramedullary;
Fracture Healing;
Humans;
Male;
Middle Aged;
Retrospective Studies;
Tibial Fractures;
Treatment Outcome;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2020;33(8):721-724
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analyze and compare the hidden blood loss of minimally invasive percutaneous plate osteosynthesis(MIPPO) combined with locking plate fixation and intramedullary nail fixation in the treatment of tibial shaft fracture.
METHODS:One hundred and ninety-one cases of tibial shaft fracture treated from January 2017 to January 2019 were analyzed retrospectively. The patients were all treated with closed reduction and divided into two groups:group A (110 cases) and group B (81 cases). In group A, 78 males and 32 females were treated with MIPPO combined with locking plate. The age ranged from 19 to 74 (45.32±11.79) years old. According to AO classification, 42cases were type 42-A, 45 were type 42-B and 23 were type 42-C fractures. Group B was treated with intramedullary nail, including 65 males and 16 females, aged 19 to 84 (45.44± 14.32) years old. According to AO classification, there were 39 cases of type 42-A, 29 cases of type 42-B and 13 cases of type 42-C. The operation time, intraoperative blood loss and hidden blood loss were observed and compared between the two groups.
RESULTS:On the first day, the hidden blood loss was (155.27±47.89) ml in group A and (160.43±131.42) ml in group B, the difference was statistically significant (<0.001);on the third day, the hidden blood loss was (102.70±94.79) ml in group A and (338.23±85.24) ml in group B, the difference was statistically significant (<0.001). There was no significant difference between the two groups in gender, age, height, weight, fracture type and preoperative Hct (>0.05).
CONCLUSION:In the treatment of tibial shaft fracture with intramedullary nail, there is obvious hidden blood loss, which is much higher than expected.
