经皮微创接骨板技术联合锁定加压钢板内固定治疗胫骨远端骨折的临床效果观察
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Observation on the Clinical Effct of Minimally Invasive Percutaneous Plate Osteosynthesis Combined with Locking Compression Plate Internal Fixation in the Treatment of Distal Tibial Fracture/XIAO Shurong， LAI Yiliang， XIAO Zhiqiang.//Medical Innovation of China， 2025， 22（11）： 046-049
[Abstract]Objective： To analyze theclinical effect of minimally invasive percutaneous plate osteosynthesis （MIPPO）combined with locking compression plate （LCP）internal fixation in the treatment of patients with distal tibial fractures.Method： A total of 103 patients with distal tibial fracture admitted to Longnan First People's Hospital from January 2020 to January 2024 were selected as the research objects and divided into control group （ n =50） and observation group （n=53） by random number table method.The control group was treated with conventional open reduction and internal fixation， and the observation group was treated with MIPPO + LCP internal fixation.Operativeparameters，activityofdailylivingscale（ADL）score，treatment effectandpostoperative complications between the two groups were compared. Result： The operation time and fracture healing time of the observation groupwere shorter than those of the control group，andthe intraoperative bloodlosswas less than that of the control group， the differences were statistically significant （ P <0.05）. Before operation， there was no significant difference in ADL scores between the two groups （ P>0.05 ）. At 6 months after operation， the ADL score of he observation groupwaslower than that ofthe control group，the diffrence was statistically significant （ P <0.05）. The total effectiverate of treatment in the observation groupwas higher than thatin the control group，and the total complication rate was lower than that in the control group，the differences were statisticaly significant （ P <0.05）.
Conclusion： MIPPO +LCP internal fixation in the treatment of distal tibial fractures has a significant effect， which can helpto improve the surgical processreducecomplications，efectively improve theabilityofdaily living，and improve the overall prognosis of patients.
[Key words] Minimally invasive percutaneous plate osteosynthesisLocking compresson plate for internal fixation Fracture of distal tibia Open reduction and internal fixation Ability of daily living
胫骨远端解剖结构特殊，在外力作用下容易出现骨折，手术是胫骨远端骨折重要的治疗手段，但由于胫骨远端与踝关节相邻，内固定面积小，且小腿前内侧部分软组织覆盖较弱，不能提供足够的血液供应，给手术方案的选择带来了一定的难度。（剩余5620字）