髓内钉和微创钢板内固定治疗42A1型和42B1型胫骨干骨折的效果比较

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Abstract Objective To compare the efficacy of intramedullary nail (IMN) and minimally invasive plate osteosynthesis(MIPO) in the treatment of 42A1 and 42B1 tibial shaft fractures classified by Arbeitsgemeinschaftfür OsteSyntheefragen(AO).Methods The clinical data of 52 patients with AO type 42A1 and 42B1 tibial shaft fractures treated in the Second People′s Hospital of Changzhi City from January 2007 to January 2017 were retrospectively analyzed.According to different treatment methods,they were divided into MIPO group and IMN group,with 26 cases in each group.The methods of anesthesia,operation time and the time of callus formation were compared between the two groups.The infection,malunion and delayed healing of the two groups were compared,and the lower limb function score (LEFS) of the two groups were compared after 6 months and 2 years of follow-up.Results There was no significant difference in anesthesia mode between two groups (P＞0.05).The operation time of MIPO group was longer than that of IMN group,the difference was statistically significant (P＜0.05).There were no significant differences in the follow-up time and the time of callus formation between the two groups (P＞0.05).There were no significant differences in infection,malunion and delayed union between the two groups (P＞0.05).The postoperative anatomical reduction rate of MIPO group was higher than that of IMN group,and the incidence of anterior knee pain was lower than that of IMN group,the difference was statistically significant (P＜0.05).After 6 months of follow-up,the LEFS score of MIPO group was lower than that of IMN group,the difference was statistically significant (P＜0.05),but there was no significant difference of LEFS score between the two groups after 2 years of follow-up (P＞0.05).Conclusion MIPO and IMN are similar in clinical and functional results,and MIPO can effectively avoid specific complications caused by IMN in some aspects,MIPO is recommended as an alternative to IMN in the treatment of AO type 42A1 and 42B1 tibial shaft fractures.

Key words： Intramedullary nail Minimally invasive plate internal fixation 42A1 and 42B1 tibial shaft fractures Operation Curative effect

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	Articles by authors
	QIN Huiyong
	WANG Junsheng
	SONG Xiaoliang

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QIN Huiyong,WANG Junsheng,SONG Xiaoliang. Effect comparison of minimally invasive plate internal fixation and intramedullary nail in the treatment of 42A1 and 42B1 tibial shaft fractures[J]. 中国当代医药, 2022, 29(17): 92-96.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I17/92

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