摘要
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.
出处
《中国医药导报》
CAS
2011年第34期157-158,共2页
China Medical Herald
关键词
锁定加压接骨板
胫骨
多段骨折
微创经皮钢板固定
Locking compression plate
Tibia
Multi-segmental fractures
Minimally invasive percutaneous plate osteosyn-thesis