MIPO结合LCP技术治疗四肢骨折临床分析  

LCP Combined with MIPO in the Treatment of Limb Fracture

作　　者：朱永周[1] 谢化民[2] 黄建国[1] 

机构地区：[1]解放军37医院军疗科,四川雅安625000 [2]西安通信学院门诊部

出　　处：《西南军医》2014年第4期367-368,共2页Journal of Military Surgeon in Southwest China

摘　　要：目的：观察微创接骨板固定（minimally invasive percutaneous osteosynthesis, MIPO）技术结合锁定加压接骨板（locking compression plate，LCP）内固定治疗四肢骨折的临床疗效。方法采用回顾性研究方法，对35例使用MIPO技术采用LCP治疗的四肢骨折病例资料进行分析。结果35例切口均1期愈合，平均手术时间71.53（37-145）min，术中平均出血183.74（50-450）ml，骨折平均愈合时间15.3（13-21）周，无骨延迟及畸形愈合，无内固定松动、断裂，无短缩，关节功能良好。结论 MIPO结合LCP技术治疗四肢骨折具有感染率低、组织损伤小、出血少、骨折愈合快、并发症少、功能恢复佳等优点。Objective To observe the curative effect of minimally invasive percutaneous osteosynthesis （MIPO） combined with lock-ing compression plate （LCP） in the internal fixation on limb fracture. Methods A retrospective analysis was made to the clinical data of 35 cases with limb fracture treated by MIPO combined with LCP. Results All the incisions were healed by first intention;the average length of operation time was 71.53min （from 37min to 145min）;the average volume of bleeding in operation was 183.74ml （from 50ml to 450ml）;the average healing time of fracture was 15.3 weeks （from 13 weeks to 21 weeks）;no delayed healing nor malunion occurred;the internal fixation had no loosening, breaking down or shrinkage;the joint function recovered well. Conclusions The treatment of MI-PO combined with LCP for limb fracture is of the following advantages： low rate of infection, less tissue injury, less bleeding, quick healing, less complication and good recovery of function.

关 键 词：四肢骨折 MIPO技术 LCP接骨板 

分 类 号：R683.4[医药卫生—骨科学]