摘要
[目的]探讨应用胫骨远端解剖钢板经皮植入治疗胫骨远端骨折的疗效。[方法]2002年1月～2005年6月对36例胫骨远端骨折病人采取闭合复位，小切17：1手术入路植入胫骨远端解剖钢板。[结果]33例获得随访，平均随访16个月，骨折均获愈合，临床愈合时间14周，按Johner—Wruhs评分法，功能优24例，良6例，中3例，差0例，优良率90．9％。[结论]微创钢板内固定手术创伤小，固定可靠，骨折愈合率高，符合生物学固定原则。
[ Objective] To discuss the clinic effects of minimally invasive anatomic plate fixation in the treatment of distal tibial fracture. [ Method] Thirty-six patients suffered from distal tibial fracture were treated from Jan. 2002 to June 2005. All the fractures were reducted closely under radiographic C-arm device. Small incisions were performed and anatomic plates of distal tibial were implanted. [ Result] Thirty -three cases were followed up with the average time of 16 months. All the fractures healed with the average union time of 14 weeks. The follow - up by Johnor-Wruhs Evaluation showed 24 excellent cases, 6 good and 3 fair. The function was good or excellent in 90. 9 percent of all the patients. [ Conclusion] Minimally invasive plate fixation is a kind of safe and effective treatment for distal tibial fractures with the advantages of less injury and high union rate. It also meets the requirement of biological osteosynthesis.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第18期1381-1383,共3页
Orthopedic Journal of China
关键词
微创
解剖钢板
胫骨远端骨折
minimally invasive
anatomic plate
distal tibial fracture
