微创经皮接骨板骨术与传统切开复位内固定术在治疗胫骨中下段骨折的临床疗效对比.pdfVIP

The clinical comparative study of minimally invasive percutaneous plate osteosynthesis (MIPPO) with the tradition plate fixation of distal tibial fractures Speciality: Orthopaedics of TCM Author: Li Haipeng Tutor: Prof. Wang Mingxi Abstract Objective: Through the comparison between minimally invasive percutaneous plate osteosynthesis ( MIPPO ) technology and traditional open reduction and internal fixation ( ORIF ) technology in the treatment of middle and distal tibial fractures clinical efficacy, the use of a summary of minimally invasive percutaneous plate osteosynthesis of MIPPO technique in treatment of middle and distal tibial fractures treatment experience. Methods: study of cases from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine in 2009 July to 2011 September orthopaedic ward from 40 cases of middle and distal tibial fracture patients, met the inclusion and exclusion criteria, age 18 ~ 70 year old, right side in 12 cases, left in 8 cases, in accordance with the AO standard classification of which type A fractures in 19 cases, 13 cases of fracture of type B, type C fracture 8 cases, open fractures ( Gustilo type ): 3 cases of type I, type 1. Using a random number table is divided into two groups, with group MIPPO for the experimental group, OPIF control group. According to the open fractures, AO soft tissue injury classification decision operation time. For the soft tissue swelling without heavy closed fractures and can tolerate the operation patients with open fractures, from within 8h after injury operation. All soft tissue injury severity of closed fractures and cannot tolerate operation of patients with open fractures to the calcaneus traction injury, after 3 ~ 12D soft tissue swelling, i