摘要
目的介绍一种胫腓骨多段骨折的微创治疗方法。方法采用闭合复位,经皮插入钢板内固定微创治疗胫腓骨多段骨折13例,其中5例为开放性,8例为闭合性。AO分型:42-C2.1型2例,42-C2.2型3例,42-C3.1型5例,42-C3.3型3例。术后不辅以其它外固定,第2天起即开始不负重关节功能锻炼。结果13例均得到随访,随访4～18个月,平均8个月。所有病例伤口甲级愈合,骨折无延迟愈合、畸形愈合。平均临床愈合时间15.3周,根据Johner-Wruhs评分,优良率85%。结论微创经皮插入钢板内固定是治疗胫腓骨多段骨折的有效方法。
Objective To introduce a minimally invasive su rgical method to treat tibiofibular segmental fractures using close reduction and percutaneous plate osteosynthesis(MIPPO).Methods 13cases of tibiofibular segmental fractures were treated wi th MIPPO.5were open fractures and 8w ere close ones.According to AO clas-sification,there were 2cases of typ e 42-C2.1,3type 42-C2.2,5type 42-C3.1and 3type 42C3.3.Active and passive motions of the knee and ankle joints were allowed 2days after operation without weight-bearing.Results All the patients were followed up for4to 18months.The mean time of bone union was 15.3weeks.There was no delayed union,nonunion or malunion in all the cases.According to Johner-Wruhs scoring system,the function was good or excellent in 85percent of all the cases.Conclusion MIPPO is a safe and effective techniq ue in the treatment of tibiofibular segmenta l fractures.[
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第12期1347-1349,1352,共4页
Chinese Journal of Orthopaedic Trauma
