锁定接骨板自体髂骨移植治疗老年胫腓骨中下段粉碎性骨折

Treatment of comminuted tibial fracture with locking compression plate and iliac bone graft

目的探讨锁定接骨板(LCP)内固定治疗老年胫腓骨粉碎性骨折的方法与疗效。方法对29例合并骨质疏松的老年胫腓骨骨折患者采取自体髂骨植骨、LCP内固定,评价手术方法及内固定效果。结果 29例均获随访,时间3～24个月。疗效评定参照Johner-Wruhs标准:优7例,良15例,可4例,差3例。无皮瓣危象及下肢循环障碍发生。结论 LCP具有多向锁定机制,固定可靠,结合自体髂骨植骨,特别适合治疗骨质疏松的老年胫腓骨骨折患者。

Objective To explore the process and clinical efficacy of comminuted tibiofibular fracture treated with loc- king compression plate（LCP） and iliac bone graft. Methods 29 elderly patients of tibiofibula fractures accompany osteoporosis were treated with LCP and iliae bone graft. Operation process and the clinical effects were evaluated after operation. Results All patients obtained the follow-up for 3 ～ 24 months. The terminal effect of clinical was evalua- ted by Johner-Wruhs＇ standard, and it was excellent in 7 cases, good in 15, fair in 4, and poor in 3. Soft tissue nec- rosis and disturbance of circulations were not found. Conclusions LCP combine iliae bone graft is the ideal way to deal with comminuted tibiofibula fractures especially elderly people accompany osteoporosis.