微创接骨板内固定术治疗胫骨骨折12例分析

Treatment of tibial fractures using minimally invasive percutaneous plate osteosynthesis: Report of 12 cases

摘要: 目的: 介绍微创接骨板固定术治疗胫骨骨折,并观察其效果。方法: 采用闭合复位经皮插入接骨板内固定治疗胫骨骨折12例。术后不辅以其它外固定,第2天即开始不负重关节功能锻炼。结果: 随访12例,随访时间6~18个月。所有切口一期愈合。骨折无延迟愈合,无畸形愈合,平均临床愈合时间14周。采用Johner-Wruhs评分标准,优8例,良3例,可1例,优良率91.6%。结论: 微创接骨板固定术是治疗胫骨骨折的有效方法。

Abstract: Objective: To introduce the technique of minimally invasive percutaneous plate osteosynthesis(MIPPO) in treatment of tibial fractures and to observe the outcome.Methods: Twelve cases of tibial fractures were treated with MIPPO and no external fixation was used.Active and passive motion of ankle joint without weight-bearing was allowed two days after operation.Results: All the patients were followed up for 6 to 18 months.No infection,delayed union,nonunion or malunion were found.The mean time of bone union was 14 weeks.According to Johner-Wruhs score standard,the results were excellent in 8 cases,good in 3 cases and fair in 1 case.The excellent and good rates were 91.6%.Conclusions: MIPPO is a safe and effective technique for treatment of tibia fractures.