摘要
目的评价及比较微创经皮钢板固定技术治疗胫骨粉碎性骨折的临床疗效。方法取两组各30例胫骨骨折患者,一组采用微创经皮钢板固定术式,另一组应用普通术式。患者年龄、性别、骨折分型无明显差异。微创经皮钢板固定手术于胫骨内侧建立皮下隧道,骨折间接复位,钢板插入,经皮螺钉固定。结果全部病人均获得随访,平均14个月,微创组骨痂形成时间平均8.3周,普通组平均10.2周,微创组骨临床愈合时间平均14.3周,普通组平均18.7周。结论微创经皮钢板固定符合生物接骨原则,避免了传统方法的弊端,有利于骨愈合,是治疗胫骨粉碎性骨折的有效方法。
Objective This study evaluates and compares the effect of the treatment of comminuted tibia fractures using minimally invasive plate osteosynthesis （MIPO） techniques with traditional method. Methods We compare the results of 30 patients treated by MIPO and 30 patients treated by traditional open reduction for tibia fractures,which are classified according to the AO system. After indirect reduciton, the plate is inserted into thc subcutaneous extraperiosteal tunnel on the medial side of tibia and is fixed percutaneously proximal and distal to the fracture. Results The mean time to callus formation in MIPO group is 8.3 weeks and to union is 14.3 weeks, in traditional group is 10. 2 weeks and 18.7 weeks. All patients in MIPO group have subsequently returned to their pre-injury occupations/level of activity. Conclusion MIPO is an effective treatment for closed comminuted fractures of tibia, avoiding the complications associated with traditional methods. It is the representation of the trend of biological osteosynthesis.
出处
《实用骨科杂志》
2007年第3期147-149,共3页
Journal of Practical Orthopaedics
关键词
微创
内固定
胫骨骨折
minimal invasive
internal fixation
tibia fracture
