锁定加压接骨板治疗胫腓骨远端粉碎性骨折

目的探讨锁定加压接骨板治疗胫腓骨远端粉碎性骨折。方法胫前外侧中下段切口。复位满意后,于胫骨外侧放置解剖型锁定加压接骨板,骨折线两侧用加压钉固定,遇粉碎骨折时,骨折处用普通螺钉拉紧骨块复位,其余位置用锁定钉固定。冲洗切口,置引流管负压引流。结果所有病例伤口一期愈合,骨折无延迟愈合、畸形愈合,平均临床愈合时间11周。按照Johner-Wruhs评价法,本组优25例,良3例,可2例。优良率为93.3%。结论使用锁定加压接骨板固定延伸到骨干部的胫腓骨远端粉碎性骨折,符合骨折生物学固定的现代理念,是一种十分有效的治疗方法。

Objective Lnquiring to locking compression sets a broken bone the hoard treatment tibiofibula far-end thrypsis. Methods Before the shin, in flank lower segment margin. After replacement satisfaction, sets a broken bone the board in the shinbone flank laying aside dissection locking compression, the bone broken line both sides was fixed with the compression nail, when met the comminuted fracture, the bone fracture place with the ordinary bolt tautness bone block replacement, other positions with locked the nail to be fixed. The flushing margin, sets at the drainage tube negative pressure drainage. Results All case wound issue heals, the bone fracture non-detention heals, the abnormal cicatrization, the average clinical cicatrization time 11 weeks. According to Johner-Wruhs appraisal law, in this group, 25 cases were superior , 3 cases were good, 2 cases were moderate. Fine rate was 93. 3%. Conclusions The use locking compression sets a broken bone the board to extend fixedly to the bone cadre＇ s tibiofibula far-end thrypsis, conforms to the bone fracture biology fixed modern idea, is one very effective method of treatment.