经皮微创锁定钢板与交锁髓内钉治疗胫骨中下段骨折的疗效对比

屈峥嵘，马晓峰

（陕西省蒲城县医院骨科，陕西 渭南，715500）

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摘要：

目的 比较微创经皮钢板内固定术（MIPO）和交锁髓内钉治疗胫骨中下段骨折的临床效果。方法 将70例胫骨中下段骨折患者随机分为试验组和对照组，各35例。试验组患者采用交锁髓内钉治疗，对照组患者采用MIPO治疗。比较两组患者的临床效果。结果 试验组患者骨折愈合时间短于对照组（P<0.05）；两组术后前、后骨折断端成角比较，无明显差异（P>0.05）；对照组患者术后内外翻成角小于试验组（P<0.05）；试验组患者的AOFAS评分高于对照组、VAS评分低于对照组（P<0.05）。结论 MIPO和交锁髓内钉治疗胫骨中下段骨折各有优缺点，临床上可以依据患者具体情况选择手术方式。

关键词：胫骨中下段骨折；微创经皮钢板内固定术；交锁髓内钉；踝关节功能

中图分类号：文献标志码：文章编号：0

Effet of percutaneous minimally invasive locking plate and interlocking intramedullary nail in patients

with middle and distal tibial fractures
QU Zheng-rong, MA Xiao-feng
(Department of Orthopedics, Pucheng County Hospital, Weinan 715500, China)

ABSTRACT: Objective To explore the effect of percutaneous minimally invasive locking plate (MIPO) and interlocking intramedullary nail in patients with middle and distal tibial fractures. Methods Seventy cases of middle and distal tibial fractures were randomly divided into control group and experimental group, with 35 cases in each group. The control group was treated with interlocking intramedullary nail, while the experimental group received MIPO, the treatment effects were compared between the two groups. Results The healing time of the experimental group was shorter than that of the control group (P<0.05). There was no significant difference in the forward and backward angles after operation in the two groups (P>0.05). The inverted and everted angles after operation was smaller than that of the experimental group (P<0.05). The AOFAS score of experimental group was higher than that of the control group, the VAS score was lower than that of the control group (P<0.05). Conclusion Both MIPO and interlocking intramedullary nail in the treatment of lower tibial fractures have advantages and disadvantages. We should choose the surgical approach according to the specific circumstances of patients.

KEYWORDS: middle and distal tibial fractures; percutaneous minimally invasive locking plate; intramedullary nailing

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