两种内固定术治疗胫骨下段AO分型42-A型骨折的疗效分析

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Abstract Objective To investigate the clinical efficacy of interlocking intramedullary nail and percutaneous minimally invasive locking plate in the treatment of AO type 42-A fractures of the lower tibia.Methods 70 patients with AO type 42-A fracture of the lower tibia treated in the People’s Hospital of Chizhou from June 2017 to May 2021 were randomly divided into group A and group B.They were treated with interlocking intramedullary nail and percutaneous minimally invasive locking plate respectively.There were 34 patients in group A，including 25 males and 9 females，with an average age of (50.38±10.08) years，ranging from 26 to 67 years.Group B had 36 cases，including 23 males and 13 females，aged 18~66 years，with an average age of (46.69±11.11) years.The hospitalization time，operation time，intraoperative blood loss，fracture healing time，postoperative complete weight-bearing time，postoperative complication rate，Olerud Molander ankle score and Lysholm knee score at different stages were recorded and compared between the two groups.Results The operation time and intraoperative blood loss in group A were more than those in group B(P＜0.05)，but there was no significant difference in hospitalization time，fracture healing time and complete weight-bearing time between the two groups (P＞0.05).There was no significant difference in Olerud Molander ankle score between group A and group B at half a month，6 months and 12 months after operation (P＞0.05).The Lysholm knee score in group A was significantly lower than that in group B half a month after operation (P＜0.05)，but there was no significant difference between the two groups at 6 and 12 months after operation (P＞0.05).There was no significant difference in the incidence of postoperative complications between the two groups (P＞0.05).Conclusion There is little difference between the two internal fixation techniques of interlocking intramedullary nail and percutaneous minimally invasive locking plate in the treatment of AO type 42-A fractures of the lower tibia.The operation time and intraoperative bleeding volume of interlocking intramedullary nail are slightly more.In the process of clinical application，surgeons can flexibly choose according to the proficiency of the two techniques.

Key words： interlocking intramedullary nail minimally invasive locking plate fracture of lower tibia AO typing

Corresponding Authors: Zhou Junwu

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	Zheng Liqiang
	Zhang Jing
	Zhou Junwu
	Wu Lifu
	Li Siwei
	Tan Liang

Cite this article:

Zheng Liqiang,Zhang Jing,Zhou Junwu, et al. Clinical Analysis of Two Internal Fixation Techniques in the Treatment of AO Type 42-A Fractures of the Lower Tibia[J]. sygkzz, 2022, 28(11): 982-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I11/982

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