MIPPO与ORIF治疗A型老年胫骨远端骨折的疗效比较

doi:10.3969/j.issn.1671-7171.2021.11.019

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Abstract 【Objective】To compare the therapeutic effects of percutaneous minimally invasive plate internal fixation (MIPPO) and open reduction and internal fixation (ORIF) on type A elderly patients with distal tibial fractures. 【Methods】 A total of 84 elderly patients with type A distal tibial fracture treated in our hospital from June 2018 to March 2020 were selected as the research objects. According to the type of operation selected, the patients were divided into MIPPO group (MIPPO treatment, 42 cases) and ORIF group (ORIF treatment, 42 cases). The operation time, intraoperative bleeding, wound healing time, fracture healing time, serum inflammatory factor level before and 24 hours after operation and clinical curative effect 6 months after operation were compared between the two groups. The patients were followed up for 12 months. 【Results】The operation time, wound healing time and fracture healing time in the MIPPO group were shorter than those in the ORIF group (P<0.05), and the intraoperative blood output was lower than that in the ORIF group (P<0.05). At 24 hours after operation, the levels of C-reactive protein (CRP), interleukin-1 (IL-1) and interleukin-6 (IL-6) in the two groups were higher than those before operation (P<0.05). At 24 hours after operation, CRP, IL-1 and IL-6 in the MIPPO group were lower than those in the ORIF group (P<0.05). Six months after operation, the excellent and good rate in the MIPPO group was higher than that in the ORIF group (92.86% vs 76.19%,χ²=4.459, P<0.05). The total incidence of postoperative complications in the MIPPO group was lower than that in the ORIF group (4.76% vs 19.04%,χ²=4.086, P<0.05). 【Conclusion】 Compared with ORIF, MIPPO can shorten the operation time, wound healing and fracture healing time, reduce the amount of intraoperative bleeding, reduce the inflammatory reaction, improve the clinical treatment effect and reduce the incidence of postoperative complications.

Key words： Tibial Fractures/SU Bone Plates Fracture Fixation, Internal/MT Aged Treatment Outcome

Received: 17 September 2021

PACS:

R683.423

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	Articles by authors
	ZHENG Xiao-lin
	GAO Qiang
	LI Yuan-yuan

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ZHENG Xiao-lin,GAO Qiang,LI Yuan-yuan. Comparison of MIPPO and ORIF in the Treatment of Type A Elderly Distal Tibial Fractures[J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(11): 1670-1673.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.11.019 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I11/1670

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