内固定钢板外置治疗胫骨骨折的研究进展

Research progress on treatment of tibial fracture with internal fixation plates as external fixators

总结了传统胫骨骨折不同治疗方式的优点和缺点,从生物力学和临床应用2个方面介绍了内固定钢板外置治疗胫骨骨折的相关研究进展。提出了内固定钢板外置会降低结构稳定性,但对能否满足骨折愈合的力学要求仍有争议。阐明了内固定钢板外置治疗胫骨骨折具有微创、高愈合率、并发症少、利于活动等优点。指出了在未来的研究中,需要对内固定钢板外置治疗胫骨骨折的可行性及有效性进行进一步的临床试验,同时模拟更加真实的人体力学环境,从而完善其相关生物力学研究证据。

The advantages and disadvantages of different treatment methods of traditional tibial fracture were summarized.The research progress on the treatment of tibial fracture with internal fixation plates as external fixators was introduced from two aspects of biomechanics and clinical application.It was proved that internal fixation plates as external fixators could reduce the structural stability,but this technique was still controversial to meet the mechanical requirements of fracture healing on biomechanics.Internal fixation plates as external fixators,it had the advantages of minimal invasion,high healing rate,less complications and favorable activities.It's pointed out clinical trials on its feasibility and availability as well as simulating body mechanics environment should be carried out to provide basis for relevant biomechanics researches.