采用胫骨远端内侧锁定钢板微创手术治疗胫腓骨中下段闭合性骨折  

Using minimally invasive surgical treatment of closed fractures of the distal tibia and fibula with distal medial tibial locking plate

作　　者：周克中[1] 戴斌[1] 沈海滨[1] 陈东[1] 张兵[1] 邓伟[1] 董启榕[2] 沈忆新[2] 徐又佳[2] 

机构地区：[1]江苏省滨海县人民医院骨科,江苏滨海224500 [2]苏州大学附属第二医院骨科,江苏苏州215004

出　　处：《吉林医学》2017年第7期1211-1214,共4页Jilin Medical Journal

摘　　要：目的:探讨采用胫骨远端内侧锁定钢板微创手术治疗胫腓骨中下段闭合性骨折的疗效。方法:闭合性胫腓骨中下段骨折患者分两组,其中微创组36例,其中男16例,女20例,年龄18~75岁,平均40.2岁,粉碎性骨折19例,简单骨折17例;对照组35例,其中男17例,女18例,年龄20~78岁,平均39.1岁,粉碎性骨折20例,简单骨折15例。微创组采用胫骨远端内侧锁定钢板微创手术治疗内固定治疗,对照组采用切开复位胫骨前外侧锁定钢板或普通加压钢板内固定治疗,比较两组患者手术总出血量、切口长度、骨折临床愈合时间、切口甲级愈合率、并发症、踝关节功能优良率。结果:两组患者手术切口长度、手术时间、骨折临床愈合时间、切口甲级愈合率、总并发症例数差异均有统计学意义,踝关节功能优良率差异有统计学意义。结论:采用胫骨远端内侧锁定钢板微创手术是治疗胫腓骨中下段闭合性骨折有效方法,具有创伤小、骨折愈合时间缩短、并发症少等优点。Objective To investigate the clinical effect of Using Minimally invasive surgical treatment of closed fractures of the distal tibia and fibula with distal medial tibial locking plate. Method The patients with closed tibia and fibula fracture were divided into two groups,the minimally invasive group was 36 cases,which 16 cases of male and 20 female patients,ranging from 18 to 75 years,average of 40. 2 years old,crushing fractures in 19 cases and simple fracture in 17 cases. The control group was 35 ca-ses,which was 17 male and 18 female,ranging from 20 to 78 years old,with an average age of 39. 1,crushing fracture 20 cases and simple fracture 15 cases. The minimally invasive group was making Minimally invasive surgical treatment with distal medial tibial locking plate. The control group were treated by open reduction of tibial anterior lateral locking plate or common compression plate fixation for the treatment. Compared two groups of patients with operation bleeding volume,length of incision,fracture healing and bone healing time, incision Class - A healing rate, complication, the excellent and good rate of the function of ankle joint. Results Two groups of patients with incision length, operation time, fracture clinical healing time, incision seam rate and total complication cases were statistically significant differences. The excellent rate of the ankle function differences had statistical signifi-cance. Conclusion The minimally invasive surgical treatment of distal tibial locking plate is an effective method in the treatmentof closed fracture of tibia and fibula It has the advantages of less trauma, shorter healing time and less complications.

关 键 词：胫骨 腓骨 骨折 微创 内固定 

分 类 号：R687.3[医药卫生—骨科学]