Huang Jianjun1 Su Songsen1 Liu Yongqing 1 Yu Haibin 1,*
1 Department of Orthopedics, Binhaiwan Central Hospital of Dongguan, Dongguan, Guangdong, China, 523900
*Haibin Yu is the corresponding author. https://orcid.org/0000-0001-6983-6939.
Article History Received 10 July 2020 Accepted 25 July 2020 Published 30 September 2020
Cite this Article Huang Jianjun, Su Songsen, Liu Yongqing, Yu Haibin. A Comparative Study of Intramedullary Nailing and Minimally Invasive Percutaneous Plate Osteosynthesis for Type A Tibial Fracture Healing [J].Medical Research, 2020.2(3):14-19, http://dx.doi.org/10.6913/MRHK.202009_2(3).0003
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ABSTRACT
Objective This study aimed to retrospectively compare the efficacy of intramedullary nailing and minimally invasive percutaneous plate osteosynthesis (MIPPO) on the fracture healing of patients with type A tibial fractures.
Methods Patients who had been diagnosed with type A tibial fracture (AO classification method) and treated with minimally invasive surgery in our hospital from January 2016 to January 2019 were included in the study. There were 21 patients in the MIPPO group and 27 patients in the intramedullary nailing group. The operation time, intraoperative blood loss, surgical incision length, callus formation time, and fracture healing time of the two groups were analyzed and compared.
Results In the intramedullary nailing group, the callus formation time and the fracture healing time were shorter than those in the MIPPO group (P<0.005). Their operation time, intraoperative blood loss, and the surgical incision length were comparable between the two groups.
Conclusions For patients with type A tibial fracture and poor wound tissue conditions, intramedullary nailing fixation treatment may be a better choice than MIPPO. Because in patients receiving intramedullary nailing treatment, the callus formation time and fracture healing time are short, and functional exercises can be performed soon after the surgery, which can reduce the occurrence of related complications.
Keywords Tibial fractures; Intramedullary nailing; MIPPO; Callus formation; Fracture healing time