- 期刊
A Comparative Study of Intramedullary Nailing and Minimally Invasive Percutaneous Plate Osteosynthesis for Type A Tibial Fracture Healing
摘要
Objective: This study aimed to retrospectively compare the efficacy of intramedullary nailing and minimally invasive percutaneous plate osteosynthesis (MIPPO) on the fracture healing of patients with type A tibial fractures. Methods: Patients who had been diagnosed with type A tibial fracture (AO classification method) and treated with minimally invasive surgery in our hospital from January 2016 to January 2019 were included in the study. There were 21 patients in the MIPPO group and 27 patients in the intramedullary nailing group. The operation time, intraoperative blood loss, surgical incision length, callus formation time, and fracture healing time of the two groups were analyzed and compared. Results: In the intramedullary nailing group, the callus formation time and the fracture healing time were shorter than those in the MIPPO group (P＜0.005). Their operation time, intraoperative blood loss, and the surgical incision length were comparable between the two groups. Conclusions: For patients with type A tibial fracture and poor wound tissue conditions, intramedullary nailing fixation treatment may be a better choice than MIPPO. Because in patients receiving intramedullary nailing treatment, the callus formation time and fracture healing time are short, and functional exercises can be performed soon after the surgery, which can reduce the occurrence of related complications.
延伸閱讀
- Chiang, C. W., Wu, C. C., Fan, K. F., Tseng, I. C., Lee, P. C., & Chou, Y. C. (2009). Operative Treatment of Distal Tibial Shaft Fractures: Comparison of Locked Intramedullary Nailing and Plating Techniques. Journal of Orthopaedic Surgery Taiwan, 26(2), 57-64. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200906-200907160049-200907160049-57-64
- Manikam, R., Kumar, C., & Mohamad, N. (2011). Reversed Tibial Locking Plates in Management of Traumatic Ipsilateral Periprosthetic Fractures of the Distal Femur and Proximal Tibia after Total Knee Arthroplasty. International Journal of Case Reports and Images (IJCRI), 2(5), 21-25. https://doi.org/10.5348/ijcri-2011-05-34-CR-4
- Wang, J. T., Wu, C. H., Ma, C. H., Yen, C. Y., Jou, I. M., & Tu, Y. K. (2018). External locked plating as the definitive treatment for open proximal tibial fractures-A biomechanical feasibility study. Formosan Journal of Musculoskeletal Disorders, 9(1), 13-19. https://doi.org/10.6492/FJMD.201802_9(1).0003
- Chang, T. C., & Chu, P. J. (2016). A comparative study of functional results of Intra-articular distal radius fractures treated with volar locking plates with or without arthroscopic assistance. Formosan Journal of Musculoskeletal Disorders, 7(4), 207-213. https://doi.org/10.6492/FJMD.20160505
- Lai, C. Y., Liu, C. H., Hsu, Y. H., Yeh, W. L., Chou, Y. C., Wu, C. C., & Yu, Y. H. (2018). Retrograde intramedullary titanium elastic nail fixation: An alternative to traditional osteosynthesis surgery for patients with superior pubic ramus fracture. Formosan Journal of Musculoskeletal Disorders, 9(4), 145-152. https://doi.org/10.6492/FJMD.201811_9(4).0003