Effect Comparison on Internal Fixation of Expert Tibia Nail and Miniinvasive Percutaneous Locking Plate for Middledistal Tibia Fractures
NI Jinrong1, DENG Jielin1, WANG Lixin2
1.Department of Orthopaedics, The First People's Hospital of Suqian, Suqian 223800, Jiangsu, China; 2.Department of Orthopaedics, Chongming Branch, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 202150, China
Abstract: ObjectiveTo compare the clinical effect of internal fixation of expert tibia nail (ETN) and miniinvasive percutaneous locking plate (MILP) for treatment of middledistal tibia fractures．MethodA retrospective study was conducted on 68 middledistal tibia fractures treated with ETN (32 cases) and MILP (36 cases) in our hospital from February 2010 to February 2015, and the efficacy of the two therapeutic method was compared.ResultsSixtyeight cases were followed up for 6 to 18 months. Compare to MILP group, the operation time was longer, intraoperative blood loss was less and the hospital stays was shorter in ETN group, and the differences were statistically (P<0.05). However, there was no statistical difference in fracture healing duration and postoperative complication rate. According to JoherWruhs criteria, the result was revealed 22 cases of excellence, 8 cases of good and 2 cases of fair in the ETN group, and 25 of excellence, 8 of good and 3 of fair in the MILP group, there was no statistic difference in the fineness rate at 5 months after operation between the two groups (93.7% vs. 91.7%, P>0.05）.ConclusionsBoth ETN and MILP are the favorable ways for the treatment of middledistal tibia fractures with obvious advantages in the short bone union, less postoperative complications as well as good function of the ankle joint. Therefore, ETN is much more suitable for the soft tissue injury of fracture.
倪进荣1，邓杰林1，王立新2. 专家型髓内钉与经皮锁定钢板治疗胫骨中下段骨折疗效比较[J]. 中国现代手术学杂志, 2018, 22(3): 196-200.
NI Jinrong1, DENG Jielin1, WANG Lixin2. Effect Comparison on Internal Fixation of Expert Tibia Nail and Miniinvasive Percutaneous Locking Plate for Middledistal Tibia Fractures. Chinese Journal of Modern Operative Surgery, 2018, 22(3): 196-200.
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2018, Vol. 22 
