本文選題：脛骨遠(yuǎn)端骨折 + 同位螺釘��； 參考：《山東醫(yī)藥》2017年07期

【摘要】：目的觀察同位螺釘輔助微創(chuàng)接骨板(MIPPO)技術(shù)內(nèi)固定治療脛骨遠(yuǎn)端骨折的臨床效果。方法 63例脛骨遠(yuǎn)端骨折患者(共65足),分為觀察組30例(30足)和對照組33例(35足)。觀察組采用同位螺釘輔助MIPPO技術(shù)內(nèi)固定治療,對照組僅采用MIPPO技術(shù)治療。術(shù)后五個月時記錄患者術(shù)后骨折初始愈合時間(術(shù)后至X線觀察到橋梁骨痂形成)、骨折臨床愈合時間[5],計算術(shù)后5個月累積愈合率(CHR)、末次隨訪時以Johner-Wruhs方法[6]評價兩組患肢功能,觀察兩組并發(fā)癥發(fā)生情況。結(jié)果觀察組、對照組骨折初始愈合時間分別為(48.17±13.12)、(65.94±19.09)d,二組比較,P0.05。觀察組、對照組骨折臨床愈合時間分別為(89.97±21.92)、(109.37±30.72)d,二組比較,P0.05。觀察組術(shù)后5個月CHR高于對照組(P0.05)。觀察組患肢功能為優(yōu)21例、良7例、中2例、差0例,優(yōu)良率93.3%,對照組分別為20、10、4、1例及85.7%。二組優(yōu)良率比較,P0.05。觀察組、對照組并發(fā)癥發(fā)生率分別為3.33%、8.57%,兩組比較,P0.05。結(jié)論同位螺釘輔助MIPPO技術(shù)內(nèi)固定治療脛骨遠(yuǎn)端骨折效果較好。
[Abstract]:Objective to observe the clinical effect of internal fixation of distal tibial fractures with the technique of minimally invasive bone plate (MIPPO). Methods Sixty-three patients (65 feet) with distal tibial fractures were divided into observation group (30 cases) and control group (33 cases (35 feet). The observation group was treated with the same position screw-assisted MIPPO technique, while the control group was treated with the MIPPO technique only. The initial healing time (bridge callus formation) and clinical healing time (5) were recorded at 5 months after operation. The cumulative healing rate (CHR) was calculated at 5 months after operation. Johner-Wruhs method [6] was used to evaluate the limb function of the two groups at the last follow-up. Complications were observed in both groups. Results the initial healing time of fracture in the observation group and the control group was (48.17 鹵13.12), (鹵65.94 鹵19.09) days, compared with that in the two groups (P 0.05). The clinical healing time of fracture in observation group and control group was (89.97 鹵21.92), (鹵109.37 鹵30.72) days, compared with control group (P 0.05). The HR in the observation group was higher than that in the control group 5 months after operation (P0.05). In the observation group, the limb function was excellent in 21 cases, good in 7 cases, fair in 2 cases, poor in 0 cases, and the excellent and good rate was 93.33.The control group was 2010104D and 85.7 cases, respectively. The excellent and good rate of the two groups was compared with that of P0.05. The incidence of complications in the observation group and the control group were 3.33 and 8.57, respectively (P 0.05). Conclusion the treatment of distal tibial fractures by internal fixation with isometric screw-assisted MIPPO is effective.
【作者單位】： 南方醫(yī)科大學(xué)第三臨床醫(yī)學(xué)院;上海市奉賢中心醫(yī)院;
【基金】：上海市醫(yī)學(xué)重點�？平ㄔO(shè)項目(ZK2015B06)
【分類號】：R687.3

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