Application value of internal and lateral percutaneous minimally invasive plate internal fixation for type A closed distal tibial fracture

YANG Yongsheng

doi:10.7619/jcmp.201921005

Journal of Clinical Medicine in Practice > 2019 > 23(21): 18-20, 24. > DOI: 10.7619/jcmp.201921005

YANG Yongsheng. Application value of internal and lateral percutaneous minimally invasive plate internal fixation for type A closed distal tibial fracture[J]. Journal of Clinical Medicine in Practice, 2019, 23(21): 18-20, 24. DOI: 10.7619/jcmp.201921005

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Application value of internal and lateral percutaneous minimally invasive plate internal fixation for type A closed distal tibial fracture

YANG Yongsheng

Second People′s Hospital of Jingdezhen, Jingdezhen Jiangxi, 333000

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Received Date: August 10, 2019
Available Online: February 28, 2021
Published Date: November 14, 2019

Graphical Abstract

Abstract

Abstract

Objective To investigate the effect of minimally invasive percutaneous plate osteosynthesis (MIPPO) in the treatment of type A closed distal tibial fractures.
Methods A total of 88 patients with type A closed distal tibial fracture diagnosed and treated in orthopedics and traumatology department in our hospital were treated with MIPPO surgery combined with internal fixation of Locking Compression Plate (LCP), and were divided into internal fixation group (n=44) and lateral fixation group (n=44) by simple random grouping method. The operative time, bleeding volume, Visual Analogue Scale (VAS) scores, fracture healing time, complications and ankle-hind foot function score of American Orthopedic Foot and Ankle Society (AOFAS) of the two groups were compared.
Results The operation time, bleeding volume and fracture healing time of internal fixation group were significantly better than those of lateral fixation group (P < 0.05). There was no significant difference in VAS score between the two groups at 1 day after operation (P>0.05). Both groups were followed up successfully for more than 6 months. The average follow-up time was 8.35 months in internal fixation group, and 8.29 months in lateral fixation group. There were no significant differences in incision infection, plate bending, delayed healing, ankle pain and total complication rate between medial fixation group and lateral fixation group(P>0.05). There was no significant difference in AOFAS scores at last follow-up between two groups(P>0.05).
Conclusion The short-term efficacy of MIPPO for type A closed distal tibial fracture is similar, but internal fixation has advantages in shortening operation time, reducing operative bleeding and promoting fracture healing.

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References

[1]	蔡振宇, 杨伟, 施忠民. 胫骨远端骨折的治疗现状[J]. 中国临床医学, 2014, 21(3): 374-376. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYX201403047.htm
[2]	高峰, 许卫东, 聂庆杰. MIPPO技术结合锁定钢板治疗胫骨远端骨折的临床疗效[J]. 中国地方病防治杂志, 2019, 15(1): 117-118. https://www.cnki.com.cn/Article/CJFDTOTAL-DYBF201901044.htm
[3]	张树峰, 宋来雪. 外侧锁定加压钢板内固定术治疗闭合性胫骨下端骨折效果观察[J]. 山东医药, 2017, 57(30): 91-93. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY201730027.htm
[4]	陈浩, 贺增良, 方加虎. MIPPO术联合LCP内固定治疗胫骨远端骨折的疗效分析[J]. 中国现代手术学杂志, 2018, 22(6): 49-52. https://www.cnki.com.cn/Article/CJFDTOTAL-XDSS201806009.htm
[5]	董磊, 荆珏华, 王宏亮. 跟骨牵引辅助经皮锁定钢板内固定治疗胫腓骨远端骨折的临床效果[J]. 中华全科医学, 2018, 16(9): 1438-1440. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201809009.htm
[6]	熊国胜, 余光书, 林焱斌, 等. 髓内钉与钢板内固定治疗胫骨远端骨折的Meta分析[J]. 中国中医骨伤科杂志, 2016, 24(2): 22-28. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG201602006.htm
[7]	朱兴建, 杨兵, 张宗山, 等. 锁定加压钢板内侧与外侧入路应用微创经皮钢板内固定技术治疗胫骨远端骨折的疗效分析[J]. 创伤外科杂志, 2015, 17(1): 72-72. https://www.cnki.com.cn/Article/CJFDTOTAL-CXWK201501031.htm
[8]	石伟哲, 肖海军. 内侧与外侧经皮微创钢板内固定治疗A型闭合性胫骨远端骨折的疗效比较[J]. 中国骨与关节损伤杂志, 2015, 30(6): 606-609. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201506015.htm
[9]	韦旭明, 孙振中, 姜为民, 等. 前外侧和内侧经皮接骨板治疗胫骨远端骨折的比较研究[J]. 中国中医骨伤科杂志, 2015, 23(12): 29-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZG201512008.htm
[10]	赵东, 刘志强, 杨红波, 等. MIPPO技术锁定钢板内固定治疗闭合性胫骨远端骨折的疗效分析[J]. 中国骨与关节损伤杂志, 2018, 33(4): 426-427. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201804038.htm
[11]	王泉, 王东来. 外侧钢板结合内侧经皮拉力螺钉的生物力学性能及在胫骨远端骨折中的应用[J]. 中国组织工程研究, 2016, 20(26): 3870-3875. doi: 10.3969/j.issn.2095-4344.2016.26.011
[12]	张经纬, 何贤峰, 朱李梅, 等. 锁定钢板用于胫骨远端骨折外固定的有限元分析[J]. 中国骨与关节损伤杂志, 2017, 32(2): 164-167. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201702014.htm
[13]	张雄, 王晓冬, 孙大兵, 等. 胫骨远端内侧入路钢板螺钉危险区解剖研究[J]. 实用骨科杂志, 2018, 24(5): 431-433, 437. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ201805011.htm
[14]	马张稳, 田红英, 白立榜, 等. 外置解剖锁定接骨板治疗伴重度软组织损伤的胫骨远端骨折[J]. 临床骨科杂志, 2017, 20(1): 100-101. doi: 10.3969/j.issn.1008-0287.2017.01.045
[15]	魏星, 李祖高, 陈健. 内侧与外侧经皮微创钢板内固定治疗A型闭合性胫骨远端骨折的疗效比较[J]. 医学理论与实践, 2018, 31(3): 385-386. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL201803041.htm

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Application value of internal and lateral percutaneous minimally invasive plate internal fixation for type A closed distal tibial fracture

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