经皮置入胫骨远端内侧锁定加压钢板治疗闭合性胫骨下1/3骨折的临床研究  

Clinical study on compression plate in the treatment of closed tibial 1/3 fracture by percutaneous insertion of distal tibial medial locked

作　　者：许国胜 欧阳永宁 钟振波 苏财有 

机构地区：[1]广东同江医院骨二科,广东佛山528000

出　　处：《中外医疗》2015年第13期64-65,共2页China & Foreign Medical Treatment

摘　　要：目的探讨微创经皮置入胫骨远端内侧锁定加压钢板治疗闭合性胫骨下1/3骨折的临床实用性。方法随机选取201 1年3月—2014年10月间该院骨科收治6胫骨下1/3骨折的患者120例,随机分为两组,各60例。对照组行传统解剖钢板切开复位内固定术治疗,实验组行微创经皮置入胫骨远端内侧锁定加压钢板治疗,术后观察手术时间,出血量、骨折临床愈合及患肢功能恢复情况。结果实验组手术时间(44.12±4.14)min、术中出血量(50.14±10.23)mL、骨痂形成时间(7.51±2.10)d、骨折愈合时间(12.53±2.69)d均优于对照组(P<0.05);Lowa胫骨骨折评分实验组优良率明显优于对照组(P<0.05)。结论微创经皮置入胫骨远端内侧锁定加压钢板治疗闭合性胫骨下1/3骨折临床实用性,值得推广。Objective To explore the minimally invasive percutaneous medial distal tibia locking compression plate in the treatment of clinical utility of closed tibial 1/3 fractures. Methods from 2011 March^2014 year in October my courtyard admitted in the Department of orthopedics, 6 lower tibial 1/3 fractures in 120 patients, randomly divided into two groups with 60 cases in each. The control group received traditional anatomic plate internal fixation for treatment, experimental group underwent minimally invasive percutaneous locking compression plate in treatment of distal tibial medial, observe the operation time, bleeding volume, fracture healing and functional recovery of limb. Results The operation time of experimental group （44.12±4.14） min, amount of bleeding during operation （50.14±10.23） ml, the callus formation time （7.51±2.10） d, the healing time （12.53±2.69） d were superior to the control group （P〈0.05）;the Lowa score the excellent and good rate of tibial fractures in experimental group was better than that of control group （P〈0.05）. Conclusion Minimally invasive percutaneous medial distal tibia locking compression plate for the treatment of closed tibial 1/3 fractures clinical practicability, worthy of promotion.

关 键 词：锁定加压钢板 闭合性胫骨下1/3骨折 骨折固定术 微创 

分 类 号：R687.3[医药卫生—骨科学]