Treatment of Distal Tibial Fracture with Percutaneous Minimally Invasive and Open Surgery

Abstract：Objective To discuss the clinical effect of percutaneous minimally invasive and open surgery with anatomic locking plate in the treatment of distal tibial fracture. Methods Retrospective analysis was made on 56 patients operated in our hospital from 2007. 1 to 2012. 12 for distal tibial fracture using by Anatomic locking plate,in which 29 patients were treated by percutaneous minimally invasive surgery( observation group)and 27 patients were treated by open surgery( control group). Comparing difference between two groups on operation time,intraoperative blood loss,hospitalization time,preservation of ankle function and Johner-wruhs score. Results There were no incision infections,no loosening of plate fixation,no bone nonunion or delayed union. All patients were followed-up for 8 to 24 months with an average of 16 months. According to Johner-Wruhs evaluation standard,there were excellent in 20 patients,good in 6 patients and fare in 3 patients in observation group,excellent rate was 89. 66%. In control group there were excellent in 10 patients,good in 10 ptients,fair in 5 patients and poor in 2 pa-tients. The excellent rate was 74. 07%. The operation time,intraoperative blood loss,hospitalization time and preservation of ankle function in observation group were better than control group(P<0. 05). Conclusion Percutaneous minimally invasive surgery using Anatomic locking plate is a effective surgical method for distal tibial fracture,with the advantage of minimal inju-ry,high healing rate and less complications.