外置解剖锁定接骨板治疗伴重度软组织损伤的胫骨远端骨折

External anatomical locking plate in treatment of distal tibial fractures with severe soft tissue injury

目的探讨外置解剖锁定接骨板治疗伴重度软组织损伤的胫骨远端骨折的临床疗效。方法对21例伴重度软组织损伤的胫骨远端骨折患者行外置解剖锁定接骨板手术治疗,闭合穿腓骨髓内钉或克氏针固定,胫骨内侧钢板放置距皮肤2~3 cm处。结果患者均获得随访,时间13~18个月。患者骨折均完全愈合。末次随访时按Johner-Wruhs评价标准评定:优12例,良7例,可2例。结论外置解剖锁定接骨板治疗伴重度软组织损伤的胫骨远端骨折,方法简单、安全,手术时间短,功能恢复良好。

Objective To explore the clinical efficacy of external anatomical locking plate in the treatment of distal tibial fractures with severe soft tissue injury. Methods Twenty-one patients with severe soft tissue injury of distal tibial fractures were treated with external medial distal tibia anatomical locking plate. Closed intramedullary nail or Kirschner wire fixed through fibula,and medial tibial plate was placed at leaving skin 2- 3 cm. Results All patients were followed up for 13- 18 months. All patients were healed completely. At the last follow-up,according the Wruhs-Johner evaluation criteria,the result showed that 12 patients recovered excellently,7 patients recovered well,and 2 cases were fair. Conclusions It＇s a simple and safe method that external anatomical locking plate is used to treat patients with severe soft tissue injury of distal tibial fractures,and the operation time is short,patients＇ function recover well.