Abstract:Objective: To investigate the clinical efficacy and effects on quality of life of micro-invasive percutaneous plating (MIPPO) in treatment of tibial shaft fracture. methods: Totally 60 eligible patients were selected and randomly divided into observation group and control group, with 30 patients in each group. The control group was treated with common open reduction with anatomical plate, while the observation group treated with MIPPO, and the basic conditions of the surgeries, postoperative qualities of fracture healing, and qualities of life were observed in the patients of the two groups. Results: The patients of the two groups had insignificantly different operative times (P>0.05); but the observation group had significantly better incision length, total blood loss, length of stay, and time to healing than the control group (all P<0.05). Of the observation group, excellent clinical efficacy was achieved in 12 patients, good clinical efficacy achieved in 15 patients, moderate clinical efficacy achieved in 2 patients, and poor clinical efficacy achieved in 1 patient; while of the control group, excellent clinical efficacy was achieved in 8 patients, good clinical efficacy achieved in 14 patients, moderate clinical efficacy achieved in 6 patients, and poor clinical efficacy achieved in 2 patients; and the differences were statistically significant (P<0.05). At 6m after the surgeries, the observation group had significantly better SF-36 scores than the control group (all P<0.05). Conclusion: MIPPO in treatment of tibial shaft fracture has a good clinical efficacy, can promote fracture healing and elevate quality of life, and is effective.
余华伟, 贾叙锋, 张戈. MIPPO治疗成年胫骨干骨折的临床疗效及术后生活质量的临床研究[J]. 河北医学, 2017, 23(1): 69-71.
YU Huawei, et al. Clinical Efficacy and Effects on Postoperative Quality of Life of MIPPO in Treatment of Adult tibial Shaft Fracture. HeBei Med, 2017, 23(1): 69-71.
[1] 王升旺,吴宏梓,崔建军,等.带锁髓内钉与加压钢板治疗胫骨骨折疗效及安全性的Meta分析[EB/OL].中华临床医师杂志:电子版,2014,8(20):3646~3652. [2] 吴善栋,李纯志.经皮微创钢板与带锁髓内钉治疗胫骨中下段骨折的临床价值比较研究[J].浙江创伤外科,2016,21(2):357~358. [3] 谢加兵,徐祝军,杨民,等.微创钢板接骨技术治疗复杂胫骨远端骨折49例临床分析[J].中国骨与关节损伤杂志,2012,27(10):902~904. [4] 李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109~113. [5] Jeavons RP,Dowen D,O'Brien S.The use of a revision femoral stem to manage a distal femoral periprosthetic fracture in a well-fixed total knee arthroplasty[J].Arthroplasty,2012,27(1):156~159.