术式改良结合LCP治疗胫腓骨远端骨折  

Treatment of Distal Tibial Fibula Fractures with Modified Operation Combine LCP

作　　者：薛双桃[1] 朱宜权 夏太保 王志刚[1] 黄玉生[1] 

机构地区：[1]安徽省芜湖市第二人民医院骨一科,安徽芜湖241000

出　　处：《中国医药指南》2012年第5期32-33,35,共3页Guide of China Medicine

摘　　要：目的探讨经腓骨前外侧切口入路的术式改良结合锁定加压接骨板(Locking compression plate,LCP)技术治疗胫骨远端骨折的临床疗效分析。方法对17例胫腓骨远端骨折患者,经腓骨前外侧切口入路行胫骨骨折有限切开复位内固定,其中男10例,女7例,按AO/ASIF[1]分类方法对胫骨远端骨折进行分型:A1型6例,A2型4例,A3型2例,C1型3例,C2型2例。结果本组17例均获随访,随访时间6～12个月,平均9个月。术后伤口均一期愈合,无切口裂开、感染、皮缘坏死、内植物外露等并发症。参考Mazur等踝关节功能评定标准,优良率94.1%。结论采用经腓骨前外侧入路的术式改良行胫骨远端骨折复位,结合LCP治疗胫腓骨远端骨折是一种创伤小、并发症少的微创手术方法,值得临床推广应用。Objective To investigate clinical effects of using LCP with techniques that anterior-lateral approach through fibula in treat of distal tibial fibula fractures .Methods 17 patients with distal tibial fractures were treated through anterior-lateral approach with limited open reduction and internal fixation, included 10 males, 7 females, According to AO/ASIF classification system： A1 type in 6 cases, A2 type in 4 cases, A3 in 2 cases, C1 in 3 cases, C2 in 2 cases.Results 17 patients were followed up for 6-12 months,mean 9 months.Wound were healed without wound dehiscence, infection, skin flap necrosis, implant exposure occurred, according to standard of the Mazur ankle function evaluation, the rate of excellent and good rate was 94.1%. Conclusion Used by the fibula anterior-lateral approach modification of distal fibula tibial fractures, combined with the LCP treatment of distal tibia fibula fracture, which was minimally invasive surgical method with less invasive, fewer complications,was worthy of clinical application.

关 键 词：胫腓骨远端骨折 腓骨前外侧入路 LCP 

分 类 号：R683.42[医药卫生—骨科学]