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| Analysis on the Clinical Curative Effect of Different Minimally Invasive Fixations for Fractures of Distal Tibia and Fibula |
| Citic Huizhou Hospital，Huizhou 516000，China |
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Abstract Objective：To analyze the clinical efficacy of minimally invasive internal fixation for the treatment of fracture of distal tibia and fibula.Method：110 patients were randomly selected in the hospital for treatment of fractures of distal tibia and fibula from April 2013 to April 2014，and the patients were divided into two groups according to the different treatment methods，55 cases in each group. Patients in the control group were treated with interlocking intramedullary nail together with flexible intramedullary nail， patients in the study group were treated with percutaneous locking compression plate combined with the flexible intramedullary nail.The clinical efficacy and safety of two groups were observed and compared. Result： The fracture healing time of the study group was shorter than the control group，and scores of plantar force were higher than the control group， the differences were statistically significant（P<0.05）. The total incidence of complications of the study group was 7.27%， significantly less than that of the control group which was 27.27%， the difference was statistically significant（P<0.05）. Conclusion： The interlocking intramedullary nail combined with flexible intramedullary nail and the percutaneous locking compression plate combined with flexible intramedullary nails are both of certain advantages for treating fracture of distal tibial and fibular， but the percutaneous locking compression plate combined with flexible intramedullary nails is better curative effects and with fewer complications， which enjoys more practical value in clinical application.
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