锁定加压接骨板治疗胫骨远端骨折疗效观察  

Curative effect of locking compression plate on with fracture of distal tibia

作　　者：李亦明[1] 周雄清 宋德煌 曾雪君[1] 

机构地区：[1]梅州市五华县人民医院骨科,广东梅州514400

出　　处：《岭南现代临床外科》2010年第3期202-204,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨锁定加压接骨板(LCP)治疗胫骨远端骨折的临床疗效。方法 2006年7月～2008年6月我科共收治胫骨远端骨折经LCP处理28例,闭合性骨折19例,开放性骨折9例;采用胫骨内侧入路切开撬拨复位,胫骨远端锁定加压接骨板内固定,术后无需外固定。早期开始踝、膝关节功能锻炼。结果术后伤口均获得一期愈合,骨痂形成时间4～10周,平均7.2周。所有患者随访4～16个月,平均8.6个月;按照Lysholm及Baird-Jackson标准评分:优21例,良5例,中2例,优良率为92.9%。无并发症发生。结论 LCP治疗胫骨远端骨折具有操作简便、固定可靠、对骨膜损伤小等明显优点,对于胫骨远端邻近关节骨折,尤其是粉碎性骨折患者是比较理想的治疗方法。Objectives To study the clinical curative effects on locking compression plate(LCP) in patients with fracture of fistal fibia.Methods 28 patients with fracture of distal tibia were admitted to our hospital from July 2006 to June 2007.Ninety patients were closed fracture and 9 pateints were open fracture.Via entocnemial open reduction,the fracture of distaltibia were fixed by locking compressive plate.The functional training of ankle and knee joint were begun at early stage after operation.Results All patients were followed up for 4 to 16 months(average 8.6 months).All patients incision were healed by first intention.Callus appeared at 4 to 10 weeks(average 7.2 weeks).According to the Lysholm and Baird-Jackson score system,21 patents were in excellent grade,5 patients were in good grade and 2 patients were middle grade.Eceellent and good rate were in 92.9%.No complications happened.Conclusion LCP in the treatment of fracture of fistal fibia has many merits,such as convenient operantion,reliable fixation and slight damage to periosteum and it was an ideal therapeutic method to treat fracture of distal tibia near joint,especially to comminuted fracture.

关 键 词：锁定加压接骨板 胫骨远端骨折 骨折固定术 内固定 

分 类 号：R687.3[医药卫生—骨科学]