摘要
目的观察经皮锁定钢板内固定治疗胫骨远端骨折的临床效果。方法回顾性分析2005年9月～2008年3月入院使用经皮微创锁定钢板内固定治疗胫骨远端骨折37例的临床资料。结果37例患者全部获随访,平均随访时间9.3个月(6～17个月)。无1例发生感染、骨延迟愈合等并发症。所有患者均达到骨性愈合,平均愈合时间为3.8个月(3～7个月)。根据Johner和Wruhs评价标准,优19例,良12例,中6例,优良率83.8%。结论经皮锁定钢板内固定治疗胫骨远端骨折创伤小,可以最大限度保留骨折端血供,固定牢靠,是胫骨远端骨折的有效方法之一。
Objective To observe the clinical outcome of distal tibia fractures treated by internal fixation with percutaneous locking plate.Methods The clinical data of 37 cases of distal tibia fractures treated by internal fixation with percutaneous locking plate from September 2005 to March 2008 were analyzed retrospectively.Results All 37 cases were successfully followed-up with a mean time of 9.3 months（range from 6 to 17 months）.No infections or delayed bone healing occurred.All cases achieved bone healing with the average healing period of 3.8 months（range from 3 to 7 months）.There were 19 excellent cases,12 good cases,and 6 fair cases according to Johner and Wruhs＇ standard.The rate of excellent and good cases was 83.8%.Conclusion Internal fixation with percutaneous locking plate was an effective procedure for the treatment of distal tibia fracture with the advantage of minimally surgical trauma,effective blood support protection and rigid fixation.
出处
《华中医学杂志》
2009年第4期185-187,共3页
Central China Medical Journal
关键词
锁定钢板
胫骨远端骨折
内固定
临床疗效
Locking plate
Distal tibia fracture
Internal fixation
Clinical result
