| Abstract |
Objective To evaluate the clinical efficacy of minimally invasive percutaneous locking and platen internal fixation in patients with distal tibial fracture. Methods 60 patients diagnosed with distal tibial fracture were selected, and their hospital stay was from July 2021 to July 2022. Randomized number table method was used to divide the patients into two groups, with 30 cases in both groups. Open reduction and internal fixation were included in the control group, and the patients treated with minimally invasive percutaneous locking and platen internal fixation were regarded as the observation group. The operative treatment indexes, related indexes and postoperative complications were compared between groups. Results (1) The operation time, hospital stay, fracture healing time, blood loss, incision length and pain of distal tibial fracture in the observation group were decreased compared with those in the control group, and there was a significant difference between the groups, P < 0.05. (2) There was no significant difference between the groups before the operation, and the level of difference during the operation was low (P>0.05). In the observation group, the anteroposterior and lateral angles of distal tibial fractures after surgery were lower, and the ankle joint function was improved compared with the control group, and a significant level of difference was found between the groups, P < 0.05. (3) There was no significant difference in quality of life score between groups before surgery, and the difference level was low during surgery, P>0.05. The physiological function, mental state, mental health and social function scores of the observation group were improved compared with the control group after surgery for distal tibial fracture, and significant differences were found between the groups, P < 0.05. (4) Compared with the control group (36.67%), the incidence of postoperative infection, joint swelling, joint stiffness, delayed healing and other complications decreased in the observation group (10.00%), and the difference level was higher during the period (P<0.05). Conclusion Minimally invasive percutaneous locking plus pressure plate internal fixation for patients with distal tibial fractures has definite effects, which can effectively shorten the recovery time of patients, reduce the trauma of patients, improve the quality of life and recovery effect of patients, and reduce the incidence of postoperative complications.
|