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目的分析探讨超远端交锁髓内钉固定与经皮微创钢板内固定治疗胫骨远端干骺端骨折的临床效果，进一步为临床治疗提供理论指导依据。方法选取2014年7月~2015年7月于我院接受治疗的48例胫骨远端干骺端骨折患者为此次研究对象，随机分为对照组和实验组，每组各24例。对照组行超远端交锁髓内钉固定术，实验组行经皮微创钢板内固定术，记录并比较两组患者的出血量、手术时间、骨痂出现时间、骨折愈合时间和术后并发症的发生率。结果对照组术中出血量、手术时间均多于实验组，组间差异有统计学意义(0.05)。术后随访时间均在1年以上，对照组并发症发生率为25.00%，观察组并发症发生率为29.16%。两组并发症发生率比较差异无统计学意义(>0.05)。结论经皮微创钢板内固定术与超远端交锁髓内钉治疗胫骨远端干骺端骨折相比较，其疗效优势和安全性更加明显。“,”Objective Analysis of fixation for distal tibial metaphyseal fractures of the clinical effect,and further to provide a theoretical guidance for clinical treatment.Methods 48 cases of distal tibial metaphyseal end fracture patients as the object of study,experimental(n=24)and control groups(n=24).Results Control group was bleeding,operation time was higher than that in the experimental group;the complication rate of control group was 25%, the complication rate of observation group was 29.16%.Conclusion The percutaneous minimally invasive plate fixation and ultra distal interlocking intramedullary nail treatment of distal tibial metaphyseal fractures compared,the advantage of curative effect and safety of the more obvious.