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LCP结合MIPPO微创治疗胫骨多段骨折
LCP结合MIPPO微创治疗胫骨多段骨折[摘要] 目的:探讨应用LCP结合MIPPO微创治疗胫骨多段骨折的效果。方法:应用LCP结合MIPPO技术微创治疗胫骨多段骨折25例,于胫骨前外侧建立皮(肌)下隧道,将钢板经隧道置于骨膜外,闭合间接复位或者有限切开复位,自攻型锁定螺钉固定。术后早期功能锻炼,平均8周开始部分负重。结果:随访12~34个月,平均23个月,所有患者均达骨性愈合,愈合时间16~38周,平均23周。参照Johner-Wruhs评分标准,优14例,良8例,中3例,差0例,总优良率达88.0%。结论:LCP结合MIPPO技微创内固定治疗胫骨多段骨折可取得较理想的效果
[关键词] 锁定加压接骨板;胫骨;多段骨折;微创经皮钢板固定
[中图分类号] R683.42 [文献标识码] B [文章编号] 1673-7210(2011)12(a)-157-02
Treatment of multi-segmental tibial fractures with LCP by minimally invasive percutaneous plate osteosynthesis technique
YANG Guojin, LIU Yulin, QIAN Zhongsheng, CHEN Weimin, WANG Guoxi
Department of Orthopaedics, the People’s Hospital of Jiangyan City, Jiangsu Province, Jiangyan 225500, China
[Abstract] Objective: To investigate the clinical effect of locking compression plate (LCP) combined with minimally invasive percutaneous plate osteosynthesis (MIPPO) technique in treating multi-segmental tibial fractures. Methods: 25 cases with multi-segmental tibial fractures were treated with LCP and MIPPO. Subcutaneous or intramuscular channel was established on anterolateral location of tibia and plate was placed on the outer surface of periosteum through the channel. After closed indirect reduction or limited open reduction, self-tapping type locking screws were used for fixation. Early postoperative functional exercise was encouraged under guidance and incompletely weight loading was undertaken at an average time of 8 weeks after surgery. Results: 25 patients were followed up for 12-34 months (23 months in average). All fractures acquired bony union in 16-38 weeks (23 weeks in average). According to Johner-Wruhs score, 14 cases were excellent, 8 cases were good, 3 cases were fair, 0 case was poor, and the rate of excellent and good was 88.0%. Conclusion: Treatment of multi-segmental tibial fractures with LCP and MIPPO can gain satisfactory clinical effect.
[Key words] Locking compression plate; Tibia; Multi-segmental fractures; Minimally invasive percutaneous plate osteosyn
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