闭合复位经皮锁定钛钢板内固定治疗胫骨下段骨折  

Closed reduction and percutaneous locking compression titanium plate internal fixation in treatment of distal tibial fractures

作　　者：吴友利[1] 陈东平[1] 王冬冬[1] 岳万磊 

机构地区：[1]淮南新华医疗集团北方医院骨科,安徽省淮南232082

出　　处：《中国基层医药》2016年第14期2092-2094,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨闭合复位经皮锁定钛钢板内固定治疗胫骨下段骨折的手术方法与临床疗效。方法回顾性分析应用闭合复位技术、通过骨折断端皮下通道、微创经皮锁定钛钢板内固定治疗胫骨下段骨折21例患者的临床资料。结果21例患者均获得随访，随访时间6～18个月，平均11个月，均获得骨性愈合。采用Johner-Wruhs 关节功能评定标准：优12例，良6例，中3例，差0例，优良率为85．71％。结论闭合复位经皮锁定钛钢板内固定治疗胫骨下段骨折，可保护皮肤软组织，减少骨折端血供的破坏，促进骨折的愈合，减少并发症。Objective To evaluate operative methods and the clinical effect of closed reduction and percuta-neous locking compression titanium plate internal fixation in treatment of distal tibial fractures.Methods The clinical data of 21 patients with fracture who received closed reduction technology through the subcutaneous tunnel of fracture end,minimally invasive percutaneous treatment of tibial locking titanium plate fixation were retrospectively analyzed. Results All 21 patients were followed up from 6 to 18 months（11 months in average）.All patients recovered with good healing of fracture.According to criteria of Johner -Wruhs score,the results were excellent in 12 cases,good in 6 cases,fair in 3 cases,and poor in 0 case.The excellent and good rate was 85.71%.Conclusion The method of closed reduction and percutaneous locking compression titanium plate internal fixation in treatment of distal tibial frac-tures can protect skin soft tissue,reduce the damage to the blood -supply of the fracture,promote the healing of the fracture and reduce complications.

关 键 词：胫骨骨折 微创经皮钢板内固定 锁定钢板 

分 类 号：R687.3[医药卫生—骨科学]