摘要
目的:探讨解剖型钢板治疗胫骨远端骨折的手术方法和临床疗效。方法:应用解剖型钢板治疗胫骨远端骨折65例,根据AO分型:A型13例,B型37例,C型15例。结果:术后患者均骨性愈合,无感染、无断钉,愈合时间9～15周(平均11.5周),采用Mazur等制定的踝关节症状与功能评分系统:优35例,良25例,可3例,差2例。结论:对胫骨远端骨折患者应用塑型良好的胫骨远端内、外侧解剖型钢板治疗,手术操作相对容易,内固定钢板符合胫骨远端解剖特点,具有操作简便,损伤小,疗效好,符合现代微创技术要求。
Objective：To investigate the methods and curative effect of distal tibial fracture by operation.Methods：65 patients with distal tibial fracture were treated from January 2000 to January 2007 with anatomic plate internal fixation. According to AO classification：type A 13 cases, type B 37 cases,type C 15 cases.Results：All cases were followed up for 8 - 36 months （averaged 18 months） , and the results showed that 25 cases were excellent,25 cases better,3 cases poor,2 cases were bad by Mazur＇s criterion.AU cases had recov- ered with healing in 9 - 15 weeks （averaged 11.5 weeks）.Conclusion：The application of anatomic plate in the treatment of distal tibial fracture has advantages of convenient operation, rigid fixation and anatomical characteristic. It is a better minimally invasive internal fixation in the treatment of distal tibial fracture with the right operation time.
出处
《现代医药卫生》
2010年第3期348-349,共2页
Journal of Modern Medicine & Health
关键词
胫骨远端骨折
解剖型钢板
内固定
Distal tibial fracture
Anatomic plate
Internal fixation
