经皮微创治疗胫骨远端骨折的疗效观察

Observation of curative effect in treatment of distal tibial fractures with minimall invasive percutaneous technique

目的 探讨应用经皮微创接骨板技术（MIPPO）治疗胫骨远端骨折的临床疗效.方法 2010年6月至2014年6月,北京中日友好医院创伤骨科应用微创经皮接骨板技术（MIPPO）技术联合胫骨远端低切迹锁定加压接骨板治疗67例胫骨远端骨折的患者,对骨折愈合情况、功能等进行评估.结果 67例患者得到有效随访,平均时间15（6 ～20）个月.切口均一期愈合,3周拆线.12～16周均达到骨折临床愈合标准下地负重,无骨折畸形愈合和不愈合病例,无接骨板和螺钉断裂、松动、退出等现象.根据Johner-Wruch标准对术后功能进行评定,优45例,良16例,可6例,差0例.结论 MIPPO技术联合胫骨远端内侧低切迹锁定加压接骨板治疗胫骨远端骨折符合生物学接骨术要求,是值得提倡推广的骨折治疗方法.

Objective To explore the application of minimally invasive percutaneous plate osteosynthesis （MIPPO） the clinical curative effect of treatment of fractures of the distal tibia.Methods From 2010 June to 2014 June,the application of MIPPO technology combined with LCP（low bend medial distal tibial plates） for treatment of 67 cases of distal tibial fracture patients,to evaluate the healing of fracture,function etc.Results 67 patients with effective follow-up,time was 6-20 months,mean 15 months.The incision healed in one stage,3 weeks.The effect of 12-16 weeks to fracture healing standard weight,nomalunion and nonunion cases,no fracture,bone plate and screw loosening,exit and other phenomena.The postoperative function was evaluatedaccording to Johner-Wruch criteria,excellent in 45 cases,good in 16 cases,6 cases,poor in 0 cases.Conclusion MIPPO technique combined with LCP （low bend medial distal tibial plates） in treatment of distal tibial fractures in accord with biological osteosynthesis requirements,is a recommendable method to treat fracture extension.