带锁髓内钉与经微创钢板治疗胫骨中下段骨折的临床疗效比较.pdfVIP

A Comparative study of Interlocking Intramedullary Nail versus Minimally Invasive Percutaneous Plate Osteosynthesis in the Treatment of Tibia Fracture Speciality: Orthopaedics of Traditional Chinese Medicine Author: Duan Xiaodong Tutor: Prof. Xiao Yi Abstract Objective: To compare the advantages and disadvantages of interlocking intramedullary nail and minimally invasive percutaneous plate osteosynthesis in the treatment of tibia fracture ,in order to provide a reference for clinical treatment.. Methods: Fifty cases of tibia fracture , treated from July 2009 to July 2011,were randomly divided into two groups,one group were treated with interlocking intramedullary nail, and another were treated with minimally invasive percutaneous plate osteosynthesis. The operation time, blood loss cases, the number of perspective ，postoperative complications, hospitalization days, fracture healing time and clinical effect in near period of time were observered. Finally to assess the affected limb by using the efficacy evaluation criteria of tibial fractures (Johner Wruh, 1983) ,in order to study the efficacy of interlocking intramedullary nail and minimally invasive percutaneous plate osteosynthesis in the treatment of tibia fracture. Results: There were significant difference between two groups in operation time and the number of perspective(P0.05), the group treated with minimally invasive percutaneous plate osteosynthesis has a shorter operation time and a less number of perspective. In the aspects of hospitalization time, blood loss cases ，postoperative complications，fracture clinical healing time and cli