微创经皮锁定钢板内固定治疗胫骨平台骨折的效果分析  

Treatment of tibial plateau fracture by minimally invasive percutaneous plate osteosynthesis

作　　者：沈洪林[1] 蒋电明[1] 

机构地区：[1]重庆医科大学附属第一医院骨科,400016

出　　处：《检验医学与临床》2013年第23期3148-3149,3152,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨实用微创经皮锁定钢板内固定术（MIPPO）在治疗胫骨平台骨折中的效果。方法MIP—PO治疗胫骨平台59例，其中男34例，女25例，年龄17～78岁，平均37．9岁。其中闭合伤46例，开放性损伤13例。按Schatzker分类方法：I型12例，Ⅱ型21例，Ⅲ型15例，Ⅳ型11例。术中骨折处塌陷严重者行植骨。结果所有59例患者均获得有效随访，平均随访时间18．6个月。骨折愈合平均时间3．2个月，无延迟愈合、不愈合、内固定松动及畸形愈合，最终随访采用Lysholm膝关节功能评分，优43例，良11侧，可5例，总优良率为91．5％。结论MIPP0结合锁定钢板在治疗胫骨平台骨折中具有创伤小、固定牢固、感染率低、并发症少、骨折愈合率高、可早期功能锻炼等优点，值得临床推广应用。Objective To summarize the clinical effect of minimally invasive percutaneous plate osteosynthesis （MIPPO） for the treatment of tibial plateau fracture with locking plate. Methods A total of 59 cases were operated via MIPPO,34 cases were male, 25 cases were female, aged 17--78, and averaged 37.9. Forty-six cases got closed fracture and 13 cases open fracture. According to Schatzker classification, 12 cases were type I , 21 cases type Ⅱ , 15 cases type Ⅲ ,and Ⅱ cases type IV. Patients who had a severe plateau collapse received a bone grafting. Results Fif- ty-nine cases were available with a mean of 18.6 months follow-up. All cases got a bone union recover within aver- aged 3.2 months, with no delayed union, nonunion, loosening internal fixation, and union in deformity developed post- operatively. According to Lysholm numerical rating system,43 patients showed an excellent result and 11 cases satis- factory,accounted for 91.5%. Conclusion The treatment of MIPPO for the tibial plateau fracture with locking plate could get a good clinical result, such as less damage, solid fixation,less infection, and less complications postoperative- ly ,which deserve clinical expansion.

关 键 词：经皮钢板固定术 胫骨平台骨折 锁定钢板 

分 类 号：R683.42[医药卫生—骨科学]