微创锁定钢板内固定治疗胫骨多段骨折的疗效  

Minimally invasive steel plate technique treatment of multi-fragment fracture of tibia

作　　者：曹前来[1] 王安[1] 杨海涛[1] 王良意[1] 冯明光[1] 王健[1] 

机构地区：[1]武警上海总队医院骨科,201103

出　　处：《武警医学》2014年第5期472-474,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的 观察微创技术结合锁定钢板内固定（minimally invasive percutaneous plate osteosynthesis,MIPPO）治疗胫骨多段骨折的疗效.方法 采用间接复位和MIPPO技术治疗胫骨多段骨折57例,并按照Johner-Wruhs方法评价术后疗效.结果 随访1～3年,骨折全部骨性愈合,愈合时间4.3 ～7.8个月,平均（5.1±1.8）个月.手术时间65 ～ 135 min,平均（84.7±16.8） min.术后疗效,优39例,良14例,中4例,优良率为93.0％.结论 MIPPO技术治疗胫骨多段骨折,创伤小,并发症少,能促进骨折愈合,功能恢复满意.Objective To study the curative effect of minimally invasive percutaneous plate osteosynthesis （MIPPO） treatment of multi-fragment fracture of tibia. Methods 57 patients with tibia multi-fragment fracture were treated by indirect reduction and MIP- PO. Results Followed-up period ranged from 12-36 month （21.6 month in average） in 57 patients. All the patient had union. The mean time of the bony union was 4.3-7.8 months, mean（5.1 ± 1.8） months. The operation time was 65-135 min, average （ 84.7 ± 16.8 ） min. The patients were evaluated in regard to function with use of Johner-Wruhs system. 39 patients had excellent results, and 14 patients good, and 4 patients fair. The satisfactory rate was 93.0%. Conclusions MIPPO is a safe and effective method for treatment of multi-fragment fracture of tibia.

关 键 词：胫骨多段骨折 内固定术 微创手术 锁定钢板 

分 类 号：R683.42[医药卫生—骨科学]