摘要
目的 介绍经皮插入接骨板内固定治疗胫骨远端骨折 ,并观察其效果。方法 采用闭合复位经皮插入接骨板内固定治疗胫骨远端骨折 2 5例。AO分型 :4 3A型 15例 (A2型 6例 ,A3型 9例 ) ,4 3B型 6例 ,4 3C型 4例。术后不辅以其他外固定 ,第 2天即开始不负重关节功能锻炼。结果 随访 2 5例 ,所有病例伤口一期愈合。骨折无延迟愈合 ,无畸形愈合 ,平均临床愈合时间 15周。根据Mazur的踝关节功能评分 ,优良率 95%。
Objective To introduce minimally invasive percutaneous plate osteosynthesis(MIPPO) for the treatment of distal tibial fractures and investigate the results. Methods 25 cases of distal tibial fractures were treated with MIPPO. According to the AO classification, there were 6 cases of type 43A2, 9 type 43A3, 6 type 43B and 4 type 43C. Without any external fixation, active and passive motion of ankle joint was allowed two days after operation without weight-bearing. Results All the patients were followed up for 5～23 months,10 on average. The mean time of bone union was 15 weeks. No infection, delayed union, nonunion or malunion was found in this series. According to Mazur ankle joint function scoring, the excellent and good rate was 95%. Conclusion MIPPO is a safe and effective technique in the treatment of distal tibial fracture.
出处
《临床骨科杂志》
2004年第1期9-11,共3页
Journal of Clinical Orthopaedics
