锁定加压接骨板结合微创经皮钢板内固定技术与交锁髓内钉治疗老年性胫骨中下段骨折.docVIP

锁定加压接骨板结合微创经皮钢板内固定技术与交锁髓内钉 治疗老年性胫骨中下段骨折 张志新，周君东，陈兴阳，邵 磊(常州市德安医院，江苏省常州市 213000) 引用本文：张志新，周君东，陈兴阳，邵磊. 锁定加压接骨板结合微创经皮钢板内固定技术与交锁髓内钉治疗老年性胫骨中下段骨折[J].中国组织工程研究，2017，21():2378-2382. DOI:10.3969/j.issn.2095-4344.2017.15.015 ORCID: 0000-0001-7338-6352(张志新) 文章快速阅读： 文题释义： 微创经皮钢板内固定技术：该技术的核心是避免直接暴露骨折端，维持适当稳定的固定，最大程度的保护骨断端以及周围的血供，为骨折愈合、软组织修复提供良好的生物学环境，且微创经皮钢板内固定技术经皮操作对骨折部位干扰小，极大地降低植骨率，减少了骨不连的发生。 AOFAS(American orthopedic foot and ankle society)踝后足评分：minimally invasive percutaneous plate osteosynthesis，MIPO Locking compression plate combined with minimally invasive percutaneous plate fixation versus intramedullary interlocking nailing for senile distal tibia fractures Zhang Zhi-xin, Zhou Jun-dong, Chen Xing-yang, Shao Lei (Changzhou Dean Hospital, Changzhou 213000, Jiangsu Province, China) Abstract BACKGROUND: In the treatment of senile distal tibia fractures, locking compression plate (LCP) combined with minimally invasive percutaneous plate osteosynthesis (MIPO) exerts a satisfactory repair effect, and contributes to the function recovery of lower limbs. OBJECTIVE: To retrospectively analyze the efficacy of LCP combined with MIPO versus intramedullary interlocking nailing for senile distal tibia fractures. METHODS: Fifty-six elderly patients with distal tibia fracture were allotted to minimally invasive and intramedullary nailing groups (n=28 per group), and received the treatment of LCP combined with MIPO and intramedullary interlocking nailing fixation, respectively. The operation time, intraoperative blood loss, postoperative AOFAS ankle-hind foot scale scores, postoperative ambulation time, healing time, postoperative complications and the excellent and good rate in Johner-Wruhs’ criteria were compared between two groups. RESULTS AND CONCLUSION: (1) The operation time, AOFAS ankle-hind foot scale scores, ambulation time, and healing time in the minimally invasive group were significantly superior to those in the intramedullary nailing group (P 0.05). (2) The mi