分期微创治疗胫骨近端粉碎性骨折  

Staged Less Invasive Methods for Treatment of Comminuted Fracture of Proximal Tibia

作　　者：郑江[1] 刘阳[1] 张宪[1] 周运平[1] 

机构地区：[1]西安市红十字会医院运动损伤科710054

出　　处：《美中国际创伤杂志》2011年第1期34-35,14,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：探讨分期微创治疗胫骨近端粉碎性骨折的临床应用。方法：选取自2004年2月～2007年5月47例胫骨中上段粉碎性骨折患者，其中合并开放伤35例，均采用分期微创方法治疗，并随访6-13月。结果：47例骨折均在术后3-6月愈合，患肢功能根据Johner-wruhs关节功能评定标准：优33例，良11例，可3例；优良率93．6％。结论：分期微创治疗胫骨近段粉碎性骨折，尤其合并开放伤者，疗效满意。Objective： To explore the clinical application of staged less invasive method for treatment of comminuted fracture of proximal tibia. Methods： From February 2006 to May 2007, 47 cases of comminuted fracture of proximal tibia were treated with staged less invasive method and followed up for 6 to 13 months. Results： 47 cases achieved solid osseous union in 3-6 months postoperatively. The result was evaluated as excellent in 33 cases, good in 11 cases and fair in 3 cases according to Johner-wruhs knee scoring. The excellent and good rate was 93.6%. Conclusion： Effect of staged less invasive treatment for comminuted fracture at proximal tibia is excellent, especially with open wound.

关 键 词：骨牵引 微创内固定系统 胫骨骨折 

分 类 号：R683.42[医药卫生—骨科学]