CAJ | 학술논문

目的观察分析采用微创经皮锁定加压钢板内固定治疗胫骨远端骨折的方法及临床疗效.方法选取41例胫骨远端骨折患者为观察组,分析其一般资料、手术方法及临床疗效,并与对照组30例传统切开复位钢板内固定患者临床结果进行比较.结果观察组手术时间短于对照组,术中出血量低于对照组,骨折愈合时间较对照组短.两组患者并发症几率比较差异有统计学意义,观察组术后踝关节功能优良率优于对照组.结论采用微创经皮锁定加压钢板内固定治疗胫骨远端骨折临床疗效显著,手术创伤较小,内固定稳固,患者术后早期功能锻炼良好,远期踝关节功能恢复优良,值得临床推广应用.
목적 관찰분석채용미창경피쇄정가압강판내고정치료경골원단골절적방법급림상료효.방법 선취41례경골원단골절환자위관찰조,분석기일반자료、수술방법급림상료효,병여대조조30례전통절개복위강판내고정환자림상결과진행비교.결과 관찰조수술시간단우대조조,술중출혈량저우대조조,골절유합시간교대조조단.량조환자병발증궤솔비교차이유통계학의의,관찰조술후과관절공능우량솔우우대조조.결론 채용미창경피쇄정가압강판내고정치료경골원단골절림상료효현저,수술창상교소,내고정은고,환자술후조기공능단련량호,원기과관절공능회복우량,치득림상추엄응용.
Objective To observe and analyze the method and clinical effect of minimally invasive percutaneous locking compression plate internal fixation on distal tibial fracture.Methods Fortyone patients with tibial distal fracture were selected as observation group,the general information,operation method and clinical effect was analyzed,then clinical results were compared with 30 patients with traditional open reduction and plate internal fixation in the control group.Results The operating time of observation group was shorter than that of the control group,intraoperative bleeding volume was lower than that of the control group,and fracture healing time was shorter than that of the control group.There was significant difference in complications rate between the groups.The good rate of ankle joint function after surgery of observation group was superior to that of the control group.Conclusions The clinical effect of minimally invasive percutaneous locking compression plate internal fixation on distal tibial fracture is obvious,the surgical trauma is small,internal fixation is stable,postoperative early functional exercise is good,long-term ankle function restoration is good,so it is worthy of clinical application.