摘要
目的分析经皮锁定钢板治疗胫骨近端关节外粉碎性骨折的临床疗效,总结该技术应用经验。方法2009年1月~2013年5月采用经皮胫骨近端外侧锁定钢板治疗胫骨近端关节外粉碎性骨折患者30例,AO分型均为41-A3。术后1月、2月、3月、6月、1年复查X片,观察骨折愈合情况。结果所有患者均获得随访,随访平均14月（10~21月）,患者骨折均愈合,平均愈合时间28周（16~46周）,25例对线良好,1例向前成角12°,2例外翻成角8°~10°,2例内翻成角6°,2例肢体短缩1.5 cm。胫骨近端皮肤激惹溃破1例。5例皮肤坏死,无深部感染发生,膝关节平均活动度120°,无1例发生骨筋膜室综合征。结论经皮锁定钢板治疗胫骨近端关节外粉碎性骨折既保留了骨折端血运,又提供了稳定的固定,临床疗效满意,骨折良好的复位及内固定的正确置入是手术成功的关键。
Objective To analyze the clinical effect of percutaneous locking plate in the treatment of eom-minuted fractures of the proximal tibia,and summarize the experience of the application of this technology. Methods From January 2009 to May 2013,30 patients with extra-articular proximal tibia fractures were trea-ted with percutaneous plating fixation. According to the AO/OTA fracture classification,all the patients were in type 41-A3. All patients recevied X-ray in first month, second month,3rd month,6th month and 12th month after operation,and the results were used to evaluate fracture healing. Results All the cases were fol-lowed up for averaging 14 months（10-21 months）. All fractures healed, the averaging healing time was 28 weeks （16-46weeks）. The postoperative alignment of 25 fractures was satisfactory,2 cases had 8°- 10°Val-gus angulation,2 cases had 6°Varus angulation in coronal plane, 1 case had 12°Forward angle in vertical plane,2 cases had 1.5cm shortage in length. All the cases had no infection, no osteofascial compartment syn-drome. The mean range of knee joint movement was 120°. Conclusion The percutaneous locking plate tech-nique showed a promising result in treatment of extra-articular proximal tibia fractures. Good reduction of fractures and the correct placement of internal fixation are the key to successful operation.
出处
《湘南学院学报（医学版）》
2015年第3期20-22,共3页
Journal of Xiangnan University（Medical Sciences）
关键词
胫骨近端骨折
锁定钢板
经皮固定
proximal tibia fracture, locking plate, percutaneous fixation
