微创经皮接骨板技术治疗胫骨骨折.pdfVIP

14 美中国际创伤杂志 2007年12月第6卷 第4期 微创经皮接骨板技术治疗胫骨骨折 马兴科，薛建武，吴兴临，张庆，郭龙 f银川国龙医院 750001) [摘要]目的：经皮微创内固定(minimally invasive percutaneou plate osteosynthesis，M1PPO)结合普通国产DCP钢 板治疗胫骨干骨折3l例的临床疗效，并探讨胫骨干骺端骨折27例的经皮接骨板技术的临床疗效。方法：回顾性 分析了2002年7月-2004年7月收治的85例胫骨干骨折临床治疗的随访结果，并前瞻性研究2004年7月 2005年1月胫骨干骺端骨折54例的经皮接骨板技术的临床疗效。胫骨干骨折85例随访82例，随访时间1．5 4 年，平均随访2年。胫骨干骺端骨折全部随访lO月一2．5年，平均1．5年。结果：胫骨干82例均愈合，术后疼痛轻， 无感染，无延迟愈合及骨不连的病例，胫骨干骺端骨折治疗54例伤口无感染，骨折均愈合，功能恢复良好。结论： 对于胫骨干骨折，经皮微创固定结合普通国产DCP钢板与带锁髓内钉具有相似的结果。对于胫骨干骺端骨折，经 皮微创内固定结合普通国产解剖钢板具有创伤小，局部组织干扰较小，骨折愈合快，功能恢复好的特点。 [关键词]胫骨干骨折；胫骨干骺端骨折；微创经皮钢板 中图分类号：R683．42 文章编号：1538-814X(2007)04-0014-02 Treatment of Tibial Fracture by Minimally Invasive Percutaneous Plate Osteosynthes~s／／Ma Xingke，Xue Jianwu，Wu Xinglin，et a1．Department of Orthopaedics，Guolong hospital of Yinchuan，Ninxia 750001，China． [Abstract]Objective：To observe the cursive effect of minimally invasive percutaneous plate osteosynthesis (MIPPO)with DCP plate for treatment of tibial fractures．Methods：The clinical results of 82 tibial fracture patients treated with MIPPO and DCP from July 2002 to July 2004 were followed up for 1．5-4 years．The curative effects of MIPPO and anatomical plate for treating 54 tibial metaphyseal fractures from July 2004 to Jan．2005 were studied and all cases were followed up for 10 months to 2．5 years．Results：A1l patients obtained bony union with an average healing time of 12 weeks，without infection，delayed union，breakage or loss of plate．Conclusion：The result between MIPPO combine with DCP plate and locked bone nail for treatment of tibial fracture is the same．For tibial metaphyseal fracture patients，MIPPO combine with DCP plate can accelerate bone healing and reduce complication． 【Key words】Tibial fracture；Tibial metaphyseal fractu