摘要
目的：探讨采用闭合复位微创接骨板固定术（minimally invasive plate osteosynthesis, MIPO ）置入锁定加压接骨板（locking compression plate, LCP）内固定治疗桡骨远端骨折的手术技巧及疗效。方法自2010年以来，在桡骨远端解剖学基础上，采用远端腕关节横弧形切口、近端纵行小切口MIPO技术置入LCP内固定治疗桡骨远端骨折12例。结果12例患者术后获12~25个月（平均15个月）随访。骨折愈合时间6~12周，平均8周。采用AO组织建议的Garland and Werley评分方法，对本组的疗效进行评估。优10例，良1例，可1例，优良率91.7%。12例平均手术时间为（55±15） min，术中平均失血量为（35±10） mL，术后平均住院时间为（7±2） d。无一例发生医源性正中神经损伤，所有患者伤口均Ⅰ期愈合。结论采用小切口MIPO技术置入LCP内固定治疗桡骨远端骨折，具有骨折愈合快、并发症少、功能恢复快的优点，临床效果良好。
Objective To describe the surgical skill and the effect of using closed reduction MIPO technology into LCP internal fixation for the treatment of distal radius fractures. Methods Since from 2010, based on the anatomy of distal radius, 12 cases with distal radius fractures were treated by using MIPO technology into LCP internal fixation, by which applying horizontal arc incision of distal wrist joint and longitudinal small incision of proximal of wrist joint. Results 12 cases were followed-up from 12 to 24 months （average 15 months）, bone union time from 6 to 12 weeks （average 8 weeks）. The scoring methods used Garland and Werley, the results showed excellent in 10 cases, good in 1 case, fair in 1 case, with an excellent and good rate of 91.7%. The mean operative time was （55 ±15） min in 12 cases, mean intraoperative blood lose was （35 ±10） mL, the average hospitallization time was （7 ±2） d. None of the iatrogenic injury of the median nerve, all patients achieved Ⅰincision healing. Conclusion It has the characteristics, such as quick healing of the fracture, less complication and rapid recovery of function, that using small incision MIPO technology into LCP internal fixation for the treatment of distal radius fractures effect, and it can obtain good clinical effect.
出处
《实用手外科杂志》
2016年第3期263-265,272,共4页
Journal of Practical Hand Surgery
关键词
桡骨远端骨折
骨折固定术
解剖
Distal radius fracture
Fracture fixation
Anatomy
