【摘要】：目的:探討骨屑、骨優(yōu)導(dǎo)結(jié)合MIPPO技術(shù)治療脛骨遠(yuǎn)端骨折的臨床效果。方法:回顧性分析手術(shù)治療的75例脛骨遠(yuǎn)端骨折病例。其中38例采用骨屑、骨優(yōu)導(dǎo)結(jié)合MIPPO技術(shù)治療脛骨遠(yuǎn)端骨折(A組),37例采用MIPPO技術(shù)治療脛骨遠(yuǎn)端骨折(B組),并且進(jìn)行隨訪。觀察兩組病例的手術(shù)時(shí)間,骨折愈合時(shí)間,Kofoed踝關(guān)節(jié)功能評(píng)分。結(jié)果:75例均獲隨訪,隨訪時(shí)間10~15月,A組手術(shù)時(shí)間(103.3±16.7)min,B組手術(shù)時(shí)間(99.5±16.4)min,兩組無統(tǒng)計(jì)學(xué)意義(P0.05)。A組骨折愈合時(shí)間(17.61±2.25)周,B組骨折愈合時(shí)間(20.03±3.39)周,A組骨折愈合時(shí)間短于對(duì)照組(P0.05)。A組Kofoed踝關(guān)節(jié)功能評(píng)分(87.79±3.64)分,B組Kofoed踝關(guān)節(jié)功能評(píng)分(85.35±4.17)分,兩組有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組均無骨不連及骨延遲愈合發(fā)生。結(jié)論:采用MIPPO技術(shù),再將鉆孔時(shí)收集的鉆頭上的骨屑結(jié)合骨優(yōu)導(dǎo)(rh BMP-2)置于骨折處,具有創(chuàng)傷小、操作簡(jiǎn)單、固定牢靠、不需額外取骨、有效利用資源、增加骨折愈合率、降低骨遲連、骨不連等特點(diǎn),是治療脛骨遠(yuǎn)端骨折的良好方法。
[Abstract]:Objective: to investigate the clinical effect of bone debris, bone guidance and MIPPO in the treatment of distal tibial fractures. Methods: 75 cases of distal tibia fractures were analyzed retrospectively. Among them, 38 cases were treated with bone scraps, bone guidance combined with MIPPO technique. 37 cases of distal tibial fractures (group A) were treated with MIPPO technique and followed up. The operation time, fracture healing time and Kofoed ankle function score were observed. Results all 75 cases were followed up. The follow-up time was (103.3 鹵16.70) min in group A and (99.5 鹵16.4) min in group B, and there was no significant difference between group A and group A (P 0.05). The time of fracture healing in group A was (17.61 鹵2.25) weeks, and the time of fracture healing in group A was (20.03 鹵3.39) weeks shorter than that in group A (P0.05). Kofoed ankle function score in group A was shorter than that in group A (P0.05). Kofoed ankle function score was (87.79 鹵3.64) in group B and (85.35 鹵4.17) in group B. The two groups had statistical significance (P0.05). No nonunion and delayed union occurred in both groups. Conclusion: using MIPPO technique, the bone scraps and bone conductance (rh BMP-2) collected from the drill bit are placed at the fracture site, which has the advantages of less trauma, simple operation, reliable fixation, no additional bone extraction, effective utilization of resources, and increased fracture healing rate. It is a good method to treat distal tibia fracture by reducing the characteristics of late bone union and nonunion.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R687.3
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本文編號(hào)：2129331