[Case-control study on minimally invasive percutaneous anatomic plate osteosynthesis for the treatment of distal
1Shenzhen Pingle Orthopaedic Hospital, Shenzhen 518010, Guangdong, China.
Objective:
To explore the therapeutic effects of minimally invasive anatomic plate fixation for the treatment of the distal tibial fractures.
Methods:
From February 2006 to March 2009,87 patients with distal tibial fractures were retrospectively analyzed and divided into four groups. Thirty-five patients in group A were treated by closed reduction internal fixation, including 25 males and 10 females,with a mean age of (34.12 +/- 7.10) years. Eleven patients in Group B were treated by closed reduction and locking compression plating fixation,including 8 males and 3 females with a mean age of (29.03 +/- 4.12) years. Twenty-six patients in Group C were treated by open reduction and internal fixation, including 15 males and 11 females, with a mean age of (31.07 +/- 6.31) years. Fifteen patients in Group D were treated by open reduction and locking compression plating fixation, including 9 males and 6 females with a mean age of (30.27 +/- 6.52) years. The index such as operating time, blood loss, hospital stay,hospital expense,fracture healing time, the last follow-up AOFAS score and complications were compared.
Results:
All the patients were followed up for 16 to 48 months with a mean time of (24.6 +/- 2.2) months. There were no significant differences in operating time, the last follow-up AOFAS score among four groups (P > 0.05); but blood loss, hospital stay and fracture healing time in group A and B were less than group C and D (P < 0.05); The hospital expenses in group A and C were less than group B and D (P < 0.05).
Conclusion:
Minimally invasive percutaneous anatomic plate fixation is beneficial for distal tibial fracture, which has minimally invasive, less hospital stay, less hospital expense especially combined with anatomic plate.
