| Objective:to compare the clinical effect of the tibial shaft fractures treated with minimally invasive percutaneus plate (MIPPO) and interlocking intramedullary nails (IIN), in order to provide evidence to choose the methods of the treatment of the tibial fractures.Methods:From February 2008 to February 2009,60 patients with tibia shaft fracture were assigned into two groups, the age, sex, fracture types and soft tissue condition of the patients in both groups were basically matched and balanced, Among them,30 cases were treated with minimally invasive percutaneus plate internal fixation (MIPPO group), and 30 cases were treated with interlocking intramedullary nails (IIN group),The operation difficulties,outcomes and complications were analyzed and compared retrospectively.Results:All the patients were followed up for 6 to 12 months, the average followed—up period was about 8.5months, the operations with the technique of minimally invasive percutaneus plate osteosynthesis (MIPPO) were much easier than interlocking intramedullary nails, the average duration of bone union was 13.0±2.9 weeks and the complication rate was 6.67% and the good rate of clinical efficacy was 93.3% in the cases treated with the technique of minimally invasive percutaneus plate osteosynthesis (MIPPO) respectively; the average duration of bone union was 19.0±3.2 weeks and the complication rate was 30% and the good rate of clinical efficacy was 80% in the cases treated with interlocking intramedullary nails respectively, it is proved that there is significant difference between two groups(p<0.05).Conclusions:The application of the technique and clinical effect of minimally invasivepercutaneus plate osteosynthesis(MIPPO) in the treatment of tibial shaft fractures has an advantages of less trauma, more simple operation, and less complications, it is a new Method of the treatment of the tibial shaft fractures better than interlocking intramedullary nails fixation,and it is worthy of recommending. |
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