经皮微创接骨板技术治疗胫骨远端骨折的疗效分析

Minimally invasive plate osteosynthesis for distal tibial fractures

目的探讨经皮微创接骨板（MIPO）技术治疗胫骨远端骨折的的手术方法及疗效。方法2006年3月至2010年2月采用MIPO技术治疗22例胫骨远端骨折患者，男8例，女14例；年龄24～75岁，平均45．3岁。术后定期复查X线片，观察骨折愈合情况，应用Johner—Wruhs方法评估患肢功能和骨折愈合情况。结果所有患者术后获6～33个月（平均14个月）随访。全部患者骨折均获愈合，愈合时间为15～24周，平均18．6周，1例出现软组织损伤。按照Johner—Wruhs评分评定疗效：优12例，良9例，可1例，优良率为95．5％。结论应用MIPO技术治疗胫骨远端骨折，可有效提高骨折愈合率，获得良好功能，并能减少并发症的发生。

Objective To report the efficacy of treatment of distal tibial fractures with minimally invasive plate osteosynthesis （MIPO）. Methods From March 2006 to January 2010, 22 cases of distal tibial fractures were treated with close reduction and the MIPO technique. They were 8 men and ld women, with an average age of 45.3 years （range, 24 to 75 years）. The fracture healing was observed through regular follow-up radiography. Functional recovery of affected lower extremity was evaluated according to Johner-Wruhs scoring system. Results All the patients were followed up for an average of 14 months （range, 6 to 33 months）. All the fractures were healed after an average time of 18.6 weeks （range, 15 to 24 weeks）. Soft tissue problem occurred in only one case. According to Johner-Wruhs scoring, 12 eases were, excellent, 9 good and one fair. The total excellent to good rate was 95.5%. Conclusion In treatment of distal tibial fractures, MIPO technique can improve fracture healing and functional recovery through decreasing postoperative complications.