微创锁内加压钛板固定加植骨术治疗胫骨远端骨折

The effect of minimally invasive lock pressurized titanium plate plus bone graft on distal tibial fracture

目的探讨傲创锁内加压钛板固定加植骨术治疗胫骨远端骨折的疗效。方法回顾性分析63例采用微创锁内加压钛板固定加植骨治疗胫骨远端骨折患者的临床资料，随访12～18个月，观察骨折愈合情况及治疗后的Iowa评分。结果手术时间55～126min，平均73min；出血量75～276ml。随访12—18个月，平均14．7个月，骨折均获愈合，平均临床愈合时间3．1个月。其中1例骨折延迟愈合，3例钉道感染经抗感染、局部换药治疗后得到控制。Iowa评分治疗前（67．2±24．5）分，12个月后（93．7±29．1）分；优30例，良28例，中5例，差0例，优良率92．1％。结论微创锁内加压钛板固定加植骨术是治疗胫骨远端骨折的有效方法。

Objective To study the effectiveness of minimally invasive lock pressurized titanium plate plus bone graft on distal tibial fracture. Methods 63 patients with distal tibial fracture were enrolled. They were operated through minimally invasive lock pressurized titanium plate plus bone graft. The Iowa was compared after follow-up. Results The fractures were all healed with three pin tract infection and nonunion. Iowa was （ 67.2 ±24. 5 ） before operation and （93.7 ±29.1 ） after twelve months （P 〈0. 01 ）. The excellent cases were 30 paeitnts,the good 28 ca- ses, the suit 5 cases and the poor 0 cases. The excellent rate was 92.1%. Conclusion Minimally invasive lock pres- surized titanium plate plus bone graft was an effective operation for distal tibial fracture.