微创医学

目的探讨微创锁定钢板内固定术和交锁髓内钉内固定术在治疗胫腓骨骨折的临床疗效和术后并发症发生情况。方法将180例胫腓骨骨折患者分为观察组与对照组各90例，观察组采用微创钢板内固定术，对照组采用交锁髓内钉内固定术，比较两组患者的手术效果。结果手术后，观察组患者的手术时间和术中出血量均明显低于对照组，两组比较，差异具有统计学意义，但观察组的下地时间、骨折愈合时间、膝关节HSS评分以及并发症的发生情况均与对照组患者基本相当，组间比较，差异无统计学意义。结论微创锁定钢板内固定术和交锁髓内钉内固定术在治疗胫腓骨骨折具有相似的疗效，但是前者手术时间更短，且术中出血量更少，患者更易接受；临床上应严格控制两种内固定术的适应证，从而使患者得到最大的受益，促进预后恢复。

Objective To investigate the clinical efficacy and complications comparison of two fixations for treating tibia and fibula fractures. Methods 180 tibia and fibula fracture patients were divided into two groups, the observation group of 90 cases was treated with minimally invasive plate fixation, while the control group of 90 patients was treated with interlocking intramedullary nail fixation. Results The operative time and blood loss of the observation group were significantly lower than those of the control group, while the ambulation time, healing time, HSS scores and concurrency the occurrence of disease were comparable. Conclusion Both minimally invasive locking plate fixation and interlocking intramedullary nail fixation in the treatment of fractures of the tibia and fibula show equivalence in the clinical effect, while the former has shorter operative time, less blood loss, may be accepted more easily. The indications should be selected strictly, allowing patients to get the maximum benefit and the recovery prognosis.

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