| 微创经皮解剖钢板治疗胫骨远端骨折的病例对照研究 |
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Received:November 24, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 高迪 |
GAO Di |
深圳平乐骨伤科医院, 广东 深圳 518010 |
Shenzhen Pingle Orthopaedic Hospital, Shenzhen 518010, Guangdong, China |
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| 贾斌 |
JIA Bin |
深圳平乐骨伤科医院, 广东 深圳 518010 |
Shenzhen Pingle Orthopaedic Hospital, Shenzhen 518010, Guangdong, China |
1023576557@qq.com |
| 郑杰 |
ZHENG Jie |
深圳平乐骨伤科医院, 广东 深圳 518010 |
Shenzhen Pingle Orthopaedic Hospital, Shenzhen 518010, Guangdong, China |
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| 期刊信息：《中国骨伤》2012年25卷，第3期，第194-197页 |
| DOI：10.3969/j.issn.1003-0034.2012.03.004 |
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目的:探讨应用经皮微创钢板固定(minimally invasive percutaneous plate osteosynthesis,MIPPO)技术治疗胫骨远端骨折的临床疗效。
方法:对2006年2月至2009年3月收治的87例胫骨远端骨折患者的临床资料进行回顾性分析。经皮微创解剖钢板固定组(A组)35例,男25例,女10例;年龄(34.12±7.10)岁;采用闭合复位、解剖钢板内固定;经皮微创锁定钢板固定组(B组)11例,男8例,女3例;年龄(29.03±4.12)岁;采用闭合复位、锁定钢板内固定;传统切口解剖钢板固定组(C组)26例,男15例,女11例;年龄(31.07±6.31)岁;采用切开复位、解剖钢板内固定;传统切口锁定钢板固定组(D组)15例,男9例,女6例;年龄(30.27±6.52)岁;采用切开复位、锁定钢板内固定。比较4组手术时间、术中出血量、住院时间、住院费用、骨折愈合时间、末次随访AOFOS评分、并发症发生情况等指标。
结果:87例均获随访,时间16～48个月,平均(24.6±2.2)个月。4组手术时间、末次随访AOFOS评分差异均无统计学意义。A、B组的术中出血量少于C、D组,住院时间、骨折愈合时间短于C、D组。A、C组的住院费用少于B、D组。
结论:应用微创内固定技术创伤小、住院时间短,特别是应用经皮微创技术结合传统解剖钢板能够降低医疗费用。 |
| [关键词]:胫骨骨折 骨折固定术,内 外科手术,微创性 病例对照研究 |
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| Case-control study on minimally invasive percutaneous anatomic plate osteosynthesis for the treatment of distal tibia fracture |
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Abstract:
Objective:To explore the therapeutic effects of minimally invasive anatomic plate fixation for the treatment of the distal tibial fractures.
Methods:From February 2006 to March 2009,87 patients with distal tibial fractures were retrospectively analyzed and divided into four groups. Thirty-five patients in group A were treated by closed reduction internal fixation,including 25 males and 10 females,with a mean age of (34.12±7.10) years. Eleven patients in Group B were treated by closed reduction and locking compression plating fixation,including 8 males and 3 females with a mean age of(29.03±4.12) years. Twenty-six patients in Group C were treated by open reduction and internal fixation,including 15 males and 11 females,with a mean age of(31.07±6.31) years. Fifteen patients in Group D were treated by open reduction and locking compression plating fixation,including 9 males and 6 females with a mean age of (30.27±6.52) years. The index such as operating time,blood loss,hospital stay,hospital expense,fracture healing time,the last follow-up AOFAS score and complications were compared.
Results:All the patients were followed up for 16 to 48 months with a mean time of(24.6±2.2) months. There were no significant differences in operating time,the last follow-up AOFAS score among four groups(P>0.05);but blood loss,hospital stay and fracture healing time in group A and B were less than group C and D(P<0.05);The hospital expenses in group A and C were less than group B and D(P<0.05).
Conclusion:Minimally invasive percutaneous anatomic plate fixation is beneficial for distal tibial fracture,which has minimally invasive,less hospital stay,less hospital expense especially combined with anatomic plate. |
| KEYWORDS:Tibial fractures Fracture fixation,internal Surgical procedures,minimally invasive Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 高迪,贾斌,郑杰.微创经皮解剖钢板治疗胫骨远端骨折的病例对照研究[J].中国骨伤,2012,25(3):194~197 |
| 英文格式: | GAO Di,JIA Bin,ZHENG Jie.Case-control study on minimally invasive percutaneous anatomic plate osteosynthesis for the treatment of distal tibia fracture[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(3):194~197 |
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