Clinical analysis of minimally invasive percutaneous locking plate fixation for patientswith distal tibial fracture
对胫骨远端骨折患者予以微创经皮锁定加压板内固定治疗的临床疗效分析

摘要

目的 评估胫骨远端骨折患者实施微创经皮锁定加压板内固定治疗的临床疗效。方法 选取确诊为胫骨远端骨折患者，确诊患者数量为60例，患者的住院时间属于2021年7月至2022年7月，分组应用随机数字表法形式，2组均30例，开放复位内固定治疗纳入到对照组之中，微创经皮锁定加压板内固定治疗的患者视为观察组，就组间手术治疗指标、相关指标、术后并发症情况加以比照。结果 （1）观察组的胫骨远端骨折手术时间、住院时间、骨折愈合时间较短、出血量、切口长度、疼痛感较之于对照组得以下降，能够明显发现组间具有显著的差异性水平，P＜0.05。（2）手术前相关指标未可见明显的组间差异性，期间差异性水平较低，P>0.05。观察组的胫骨远端骨折手术后正位片角度、侧位片角度较低、踝关节功能较之于对照组得以提升，能够明显发现组间具有显著的差异性水平，P＜0.05。（3）手术前生活质量评分未可见明显的组间差异性，期间差异性水平较低，P>0.05。观察组的胫骨远端骨折手术后生理机能、精神状态、心理健康、社会功能评分较之于对照组得以提升，能够明显发现组间具有显著的差异性水平，P＜0.05。（4）较之于对照组（36.67%）胫骨远端骨折患者，其观察组（10.00%）的患者术后感染、关节肿胀、关节僵硬、愈合延迟等并发症发生率有所下降，期间差异性水平较高，P<0.05。结论 胫骨远端骨折患者行微创经皮锁定加压板内固定治疗效果确切，可有效缩短患者恢复时间，患者创伤较小，能够提升患者的生活质量及恢复效果，患者术后并发症发生率较低。

Abstract

Objective To evaluate the clinical efficacy of minimally invasive percutaneous locking and platen internal fixation in patients with distal tibial fracture.
Methods 60 patients diagnosed with distal tibial fracture were selected, and their hospital stay was from July 2021 to July 2022. Randomized number table method was used to divide the patients into two groups, with 30 cases in both groups. Open reduction and internal fixation were included in the control group, and the patients treated with minimally invasive percutaneous locking and platen internal fixation were regarded as the observation group. The operative treatment indexes, related indexes and postoperative complications were compared between groups.
Results (1) The operation time, hospital stay, fracture healing time, blood loss, incision length and pain of distal tibial fracture in the observation group were decreased compared with those in the control group, and there was a significant difference between the groups, P < 0.05. (2) There was no significant difference between the groups before the operation, and the level of difference during the operation was low (P>0.05). In the observation group, the anteroposterior and lateral angles of distal tibial fractures after surgery were lower, and the ankle joint function was improved compared with the control group, and a significant level of difference was found between the groups, P < 0.05. (3) There was no significant difference in quality of life score between groups before surgery, and the difference level was low during surgery, P>0.05. The physiological function, mental state, mental health and social function scores of the observation group were improved compared with the control group after surgery for distal tibial fracture, and significant differences were found between the groups, P < 0.05. (4) Compared with the control group (36.67%), the incidence of postoperative infection, joint swelling, joint stiffness, delayed healing and other complications decreased in the observation group (10.00%), and the difference level was higher during the period (P<0.05).
Conclusion   Minimally invasive percutaneous locking plus pressure plate internal fixation for patients with distal tibial fractures has definite effects, which can effectively shorten the recovery time of patients, reduce the trauma of patients, improve the quality of life and recovery effect of patients, and reduce the incidence of postoperative complications.