锁定钢板微创手术治疗胫腓骨远端骨折28例  

Treatment of distal tibiofibular fractures by minimally invasive percutaneous plate osteosynthesis with locking plate: an analysis of 28 cases

作　　者：夏海冬[1] 朱兴元[1] 田顺林[1] 刘晓冬[1] 倪晓辉[1] 

机构地区：[1]江苏省大丰市人民医院,江苏大丰224100

出　　处：《中国伤残医学》2014年第6期4-5,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨胫腓骨远端骨折锁定钢板内固定的治疗效果。方法:治疗新鲜胫腓骨远端骨折28例。全部采用锁定钢板微创植入方式。结果:随访4～15个月,随平均10个月,伤口26例I期愈合,2例原开放性伤口出现坏死经过扩创、植皮等处理后期愈合,骨折27例愈合,时间为4～10个月,平均5个月,1例出现骨不连、钢板断裂,后期植骨、重新内固定后愈合。结论:锁定钢板结合微创植入手术软组织损伤小、固定牢靠、骨折愈合率高,是一种安全有效的内固定技术。Objective：To evaluate the clinical results of treatment of distal tibiofibular fractures by minimally invasive percutaneous plate osteosynthesis with locking plate .Methods：Twenty-eight patients of distal tibiofibular fracture who had received minimally invasive percutaneous plate osteosynthesis with locking plate in our hospital between January 2009 to October 2012 were involved in our retrospec-tive investigation.Results：All patients were followed up prospectively for an average of 10 months （ range 4 months to 15 months） .A-mong the 28 patients who finished the follow -up, the incisions of 26 patients had healed in I stage , and the last 2 patients with open wounds recovered graduatedly after debridement and dermatoplasty .Twenty-seven fractures healed after an average of 5 months （ range 4 months to 10 months） post-operation.One patient with nonunion recovered after re -fixation and bone graft.Conclusion：Minimally in-vasive percutaneous plate osteosynthesis with locking plate for distal tibiofibular fractures could led to a good functional outcome because it provides stable fixation with less soft tissue injury and high fracture healing rate .

关 键 词：微创 锁定加压钢板 胫腓骨远端 骨折 治疗效果 

分 类 号：R683.42[医药卫生—骨科学]