摘要
目的:探讨运用经皮(minimal y invasive percutaneus plate osteosynthesis, MIPPO)技术结合锁定加压钢板(LCP)内固定术治疗胫骨中下段骨折的方法和临床意义。方法2009年4月~2011年3月收治胫骨中下段骨折患者34例,其中男21例,女13例;年龄23~62岁,平均43.8岁。采用经皮微创钢板固定治疗。记录的切口长度、出血量、手术时间、住院时间、骨折愈合时间、术后功能等指标进行比较。结果患者均一期愈合。31例随访12~36个月,3例失访。骨折全部愈合,愈合时间为术后13~21w,平均14w。无神经血管损伤、骨折不愈合和内固定松动、断裂等并发症。结论微创经皮技术结合LCP内固定是较好治疗胫骨中下段骨折的方法,能减少对骨膜剥离,提高手术成功率,有利于患者下肢功能的恢复。
Objective To research combination LCP and MIPPO surgical treatment for distal tibial fracture.Methods From April 2009 to March 2011,34 cases of distal tibial fractures were treated with locking compression plate(LCP)combined with MIPPO,including 21 males and 13 females;aged 23 to 62 years,with an average of 43.8 years.Record incision length,amount of bleeding,operative time,hospital stay,fracture healing time,postoperative functional indicators Etc.Results Al fracture reached bone healing.31 patients were followed up for 12 to 36 months,3 were lost.Al fractures were healed in 13~21 weeks after surgery,an average of 14 weeks.There are no complications such as vascular injury、nonunion and fixation loosening,fracture.Conclusion Use of locking compression plate(LCP)combined with MIPPO technique in the treatment of distal Tibial fracture can reduce can reduce the range of periosteal stripping,improve the success rate of surgery and is conducive to the recovery of limb function.
作者
陈军
石卫星
王冶
付伦
CHEN Jun;SHI Wei-xing;WANG Ye;FU Lun(Ezhou City Central Hospital,Ezhou 436000,Hubei,China)
