胫骨远端髁钢板内固定治疗胫骨远端骨折35例体会  

Distal Tibial Condylar Plate Fixation for Distal Tibial Fractures:An Experience of 35 Cases

作　　者：黄文江[1] 龚洪桂[1] 薛文辉[1] 陈天实[1] 

机构地区：[1]广东省博罗县人民医院外科,广东博罗516100

出　　处：《中国现代医生》2009年第36期142-143,共2页China Modern Doctor

摘　　要：目的探讨胫骨远端髁钢板治疗胫骨远端骨折的手术方法和临床疗效。方法本院自2003年1月～2008年6月对35例胫骨远端骨折患者进行手术治疗,选择合适的手术时机,手术复位应用胫骨远端髁钢板内固定。结果术后随访6～24个月(平均14个月)。所有患者均获骨性愈合,术后创口I期愈合29例,按Mazur评分标准:优23例,良7例,可5例,优良率85.7%。所有患者无严重并发症。结论胫骨远端髁钢板是治疗胫骨远端骨折的理想内固定物,只要选择合适的手术时机;内固定钢板符合胫骨远端解剖特点,内固定牢固,可获得良好的临床疗效。Objective To investigate the surgical method and clinical efficacy of the distal tibial condylar plate fixation for distal tibial fractures. Methods Thirty-five cases of distal tibial fractures were given surgical treatment in our hospital from Jan. 2003 to June 2008,the appropriate timing of surgery was selected and the distal tibial condylar plate fixation was used for surgical reduction. Results All the patients had postoperative follow-up of 6-24 months（mean 14 months）. All patients showed bone healing and postoperative wound I healing in 29 cases. Mazur score criteria showed excellent in 23 cases,good in 7 cases and general in 5 cases,with the excellent and good rate of 85.7%. All patients had no serious complication. Conclusion The distal tibial condylar plate for distal tibial fractures is the ideal inner fixity. The appropriate timing of surgery,the internal fixation of distal tibial plate in line with anatomical features, and strong internal fixation will obtain a better clinical efficacy.

关 键 词：胫骨远端骨折 胫骨远端髁钢板 手术内固定 

分 类 号：R681.8[医药卫生—骨科学]