LCP结合MIPPO微创治疗胫骨多段骨折

Treatment of multi-segmental tibial fractures with LCP by minimally invasive percutaneous plate osteosynthesis technique

目的:探讨应用LCP结合MIPPO微创治疗胫骨多段骨折的效果。方法:应用LCP结合MIPPO技术微创治疗胫骨多段骨折25例,于胫骨前外侧建立皮(肌)下隧道,将钢板经隧道置于骨膜外,闭合间接复位或者有限切开复位,自攻型锁定螺钉固定。术后早期功能锻炼,平均8周开始部分负重。结果:随访12～34个月,平均23个月,所有患者均达骨性愈合,愈合时间16～38周,平均23周。参照Johner-Wruhs评分标准,优14例,良8例,中3例,差0例,总优良率达88.0%。结论:LCP结合MIPPO技微创内固定治疗胫骨多段骨折可取得较理想的效果。

Objective： To investigate the clinical effect of locking compression plate （LCP） combined with minimally inva- sire percutaneous plate osteosynthesis （MIPPO） technique in treating multi-segmental tibial fractures. Methods： 25 cases with multi-segmenta] tibial fractures were treated with LCP and MIPPO. Subcutaneous or intramuscular channel was es- tablished on anterolateral location of tibia and plate was placed on the outer surface of periosteum through the channel. Af- ter closed indirect reduction or limited open reduction, self-tapping type locking screws were used for fixation. Early post- operative functional exercise was encouraged under guidance and incompletely weight loading was undertaken at an aver- age time of 8 weeks after surgery. Results： 25 patients were followed up for 12-34 months （23 months in average）. All fractures acquired bony union in 16-38 weeks （23 weeks in average）. According to Johner-Wruhs score, 14 cases were ex- cellent, 8 cases were good, 3 cases were fair, 0 case was poor, and the rate of excellent and good was 88.0%. Conclusion： Treatment of multi-segmental tibial fractures with LCP and MIPPO can gain satisfactory clinical effect.