微创经皮钢板固定术治疗胫骨中下段骨折的临床效果

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ClinicalEffecfMinimally InvasivePercutaneousPlateFixationintheTreatmenfMiddleand Lower TibialFractures/XUDan，GAOJin，LUWei.// Innovation of China，2025，22（30）：132-135

[Abstract]Objective： To explore the effect of minimally invasive percutaneous plate fixation on patients with middleand lower tibial fractures.Method：A tal of98 patients with middle and lowertibia fractures were admited from June2O2O June 2O24，and they were divided in two groups acording the random number table method， with 49 cases in each group.The control group underwent conventional open reduction and instrumentation，and the observation group underwent minimally invasive percutaneous plate fixation.The surgical effects of the two groups were compared.Result： Intraoperative bleeding in the observation group was 95.35±12.35 ）mL，less than （119.75±18.42）1 nL in the control group （ P <0.05）;the time of operation in the observation group was （ 66.35±6.15 ）min，time of hospitalization was 0 10.46±1.25） d， time of callus formation was （8.24±1.22） weeks， time of fracture healing was （ 13.45±1.87 7）weeks， shorter than 95.83±8.25 min， （14.22±1.89 d， （11.53±1.69 ）weeks， （17.69±2.41 ）weeks in the control group （ P <0.05）; the complication rate in the observation group was 4.08% （2/49）， lower than 16.33% （8/49） in the control group （ P <0.05）;the Lysholm score at 3 months after surgery in the observation group was （80.48±9.77 ） points， the scores of psychological function，social function，physiological function，dailyactivityinthe WHOsurvivalquality measurement scale were （79.83±6.52 ） （77.84±6.22） ， （82.59±6.15 ）and （82.33±6.78 ）points respectively， all higher than （71.25±8.26） （72.56±5.33 ） （69.95±5.48） ， （73.64±5.21 ） （71.64±5.21 ）points in the control group （P<0.05） . Conclusion： Minimally invasive percutaneous plate fixation has the advantages of less damage， fasterrecoveryand less complications，which can improvethe kneefunctionof patients with middleandlower tibia fractures and improve the quality of life.

胫骨中下段骨折为多发的骨折类型之一，在临床的患病率位于较高水平[-2]。（剩余5143字）