锁定加压钢板内固定治疗胫骨远端骨折  

The treatment of distal tibial fractures with locking compression plate fixation

作　　者：曹毅[1] 刘璠[1] 顾永强[1] 严勋[1] 

机构地区：[1]南通大学附属医院骨科,226001

出　　处：《江苏医药》2007年第4期358-360,共3页Jiangsu Medical Journal

摘　　要：目的评价锁定加压钢板(LCP)内固定治疗胫骨远端骨折的疗效。方法采用LCP治疗胫骨远端骨折36例。根据AO分型,A型骨折8例,B型骨折12例,C型骨折16例。采用间接复位技术21例,切开复位技术15例。术后早期进行踝关节功能锻炼。结果平均随访14个月,所有骨折均愈合,平均愈合时间4.5个月。采用Teeny和Wiss评分评价踝关节功能:优21例,良9例,一般5例,差1例。3例出现伤口浅表感染,1例浅层皮肤坏死,1例皮肤坏死切口裂开钢板外露。结论采用LCP内固定治疗胫骨远端骨折疗效满意。Objective To assess the clinic outcome of the treatment of distal tibial fractures with locking compression plate fixation. Methods Thirty-six cases of distal tibial fractures were treated with locking compression pate fixation. The AO classifications were type A in 8 cases, type B in 12 cases, and type C in 16 cases. Twenty-one fractures received indirect reduction and 15 fractures open reduction. Early ankle motion without weightbearing was encouraged. Results The patients were followed up for an average of 14 months and all fractures were unionized in an average of 4. 5 months. For all fractures, 83.3% of the patients had good or excellent results by Teeny and Wiss scoring. Five of 36 cases （13.9%） developed wound complication. Conclusion The clinic results in treatment of distal tibial fractures with locking compression late fixation are satisfactory.

关 键 词：胫骨 骨折 内固定 锁定加压钢板 

分 类 号：R683[医药卫生—骨科学]