微创技术结合锁定钢板治疗胫骨远端骨折疗效分析  

Clinical Efficacy Analysis of Minimally Invasive Percutaneous Plate Osteosynthesis in Combination of Locking Compression Plate for Distal Tibial Fractures

作　　者：王俊义[1] 倪晓辉[1] 张卢[1] 朱兴元[1] 

机构地区：[1]江苏省大丰市人民医院骨科,江苏大丰224100

出　　处：《中国伤残医学》2014年第9期8-9,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨采取微创技术结合锁定钢板治疗胫骨远端骨折的效果。方法：自2008年10月～2011年10月通过采取微创切开手术对胫骨远端骨折行锁定钢板内固定治疗32例患者回顾分析。结果：所有患者经过6个月～24个月（平均16个月）的随访，骨折均愈合。按照Johner和Wruhs膝踝功能评价标准评价，优21例，良7例，中3例，差1例，优良率87．5％。结论：对胫骨远端骨折，采取微创切开结合锁定钢板内固定治疗，具有手术创伤小、骨折愈合率高、并发症少等优点，有利于早期康复锻炼，能够提高临床疗效。Objective：To investigate the clinical efficacy of minimally invasive percutaneous plate osteosynthesis （ MIPPO） in combina-tion of locking compression plate （ LCP） for distal tibial fractures .Methods：Thirty-two patients who had received MIPPO in combination of LCP for distal tibial fractures in our hospital between October 2008 to October 2011 were involved in our retrospective investigation .Re-sults：All patients were followed up prospectively for an average of 16 months （ range 6 months to 24 months） , and all got primary heal-ing.According to Johner and Wruhs standard , the functions of ankle joint were excellent in 21 cases, good in 7 cases, may in 3cases and poor in 1 case（excellent rate：87.5%）.Conclusions：Combined MIPPO and LCP in treatment of distal tibial fractures with a minimally in-vasive,higher healing rate, can be an early postoperative functional exercise ,less complications,is the treatment of distal tibial fractures as a good way.

关 键 词：胫骨远端骨折 微创 锁定钢板 内固定 

分 类 号：R683.42[医药卫生—骨科学]