Clinical Curative Effects Observation Of Minimally Invasive Surgery With Traditional Chinese Medicine By Stages On The Treatment Of Tibia Fractures In The Lower Segment

Objective: Tibia Fracture in the lower segment is common in clinical practice,which can ofen lead to some serious complications including delayed union,nonunion,infection and so on because of its special anatomical structure and blood circulation, with more and more surgical doctors start to combine traditional chinese and western method to treat tibia fractures in the lower segment.At present,it is widely proved that it is good for fracture healing to take traditional Chinese medicine by stages.Besides,on one hand,it is widely accepted to use minimally invasive surgery to treat this type of facture,on the other hand, both interlocking intramedullary nail and dynamic compression plate with traditional Chinese medicine by stages can achieve satisfactory results in treating tibial fractures in the lower segment. However,there are still different opinions for the choice of these methods.To compare the clinical effects of interlocking,intramedullary nail and minimally invasive percutaneous plate osteosynthesis on the treatment of tibia fractures,in order to provide a reference forclinical treatment.Methods:From May 2010 to July 2012,66 patents with tibia fractres in the lower segment in the Chinese medicine hospital in Hubei province orthopedics,were assigned into two groups with strict inclusion and exclusion criteria,according to different treatment: interlocking intramedullarynail(IIN) group of 31 cases,26 cases of male and female in 5 cases, with the average age was 34.13 ± 6.45 years(19 to 58 years old);minimally invasive percutaneous plate osteosynthesis(MIPPO)group of 35 cases, 27 cases of male and female in 8 cases,with the average age was 35.65±7.65years(21to 54 years old); Observed between the two operative time,blood loss cases, Posto Perative complcation,hospitalization days,follow-up of patients with fractuure healing time of the tibial fraetures(Johner & Wruh, 1983)efficacy evaluation criteria to assess funetion assessment of interlocking intramedul1 ary nail and locking compression plate of the therapeutic effect.Results: There were significant difference between two groups in operation time and operative bleeding volume(P<0.05), the MIPPO group had a shorter operation time and less operative bleeding volume; hospitalization days, fracture healing time and incidence of common complications in both groups were basically matched and balanced(P>0.05). Finally, using the efficacy evaluation criteria of tibial fractures(Johner & Wruh, 1983) to assess the affected limb:the excellent and good rate of IIN group and MIPPO group achieved respectively 96.77% and 94.29%,The mentioned difference had no statistical sense in the two groups(P>0.05).Conclusion:1.Both interlocking intramedullary nail and minim- ally invasive percutaneous plate combined with traditional Chinese medicine by stages on the treatment are effective methods,which could achieve very good clinical effects in the operation,but the operation time of the patients in MIPPO group was shorter and operative bleeding volume was less than IIN group.2.Two kinds of fixation methods have advantages and disadvantages of the tibia and fibula fracture fixation.Therefor,when we need to make a appropriate choice between the minimally invasive surgical methds,we should judge the fracture types accurately and select indications correctly.