锁定加压接骨板LCP应用MIPPO技术治疗胫骨远端粉碎性骨折25例疗效分析.docVIP

精品论文 参考文献 锁定加压接骨板LCP应用MIPPO技术治疗胫骨远端粉碎性骨折25例疗效分析 李杰 邱孝明 蔡南川 王梁谦 申文瀚 刘大君 　　（重庆市第七人民医院骨科 重庆 400054） 　　【摘要】 目的：探讨LCP应用MIPPO技术治疗胫骨远端粉碎性骨折的治疗方法。方法：采用锁定接骨板(LCP) 应用MIPPO技术治疗胫骨远端粉碎性骨折25例，对其疗效进行评估。结果：本组25例病人中，4例因周围软组织严重损伤，出现胫前皮肤坏死，二期皮瓣移植愈合外其余均一期愈合，无感染及内固定松动及骨不连等并发症。结论：应用MIPPO技术的LCP固定胫骨远端骨折，保护了胫骨骨折端及周围软组织血运，符合生物学内固定理念，促进骨折愈合，减少并发症等优点，是一种较先进的骨折治疗方法。 　　【关键词】 胫骨远端粉碎性骨折；LCP生物学内固定；MIPPO 　　【中图分类号】R683 【文献标识码】A 【文章编号】2095-1752（2016）03-0171-02 　　Locking plate LCP Osteosynthesis with MIPPO technique for Distal Tibia Comminute Fracture 　　Lijie Qiuxiaoming* Cainanchuan Wangliangqian Shenwenhan Liudajun 　　【Abstract】Objective To discuss the treatment of distal tibia comminute fracture with LCP through the minimally invasive percutaneous plate osteosynthesis (MIPPO) technique.Methods Twenty-five cases of distal tibia comminute fracture were treated with LCP through MIPPO technique.And then the efectiveness was analyzed and assessed.Results All 25 cases entire group had one-stage wound healing except 4 cases need two-stage skin petal transplant due to severe open and soft tissue injuries around the tibia fracture , and were in the absence of infections and internal fixation plate loosening and bone not healing. Conclusion LCP were used for treating distal tibia comminute fractur with MlPPO which protected the blood supply of the bone fracture and the soft tissue, It has accord the Biological internal fixed idea and could promote the bone healing and reduce the complication .It was a more advantage method to treatment the bone fracture. 　　【Key words】Distal tibia comminute fracture;Locking Compress plate; Biological internal fixation; Minimally invasive percutaneous plate osteosynthesis 　　胫骨远端骨折，均为高能量创伤所致，多呈粉碎性骨折，常常合并足踝周围软组织及邻近骨质骨折，涉及关节面，临床治疗较为棘手，术后并发症相对较多。近年随着生物学内固定理念的提出，对此类型骨折的治疗观念逐渐更新，通过保护骨折端及周围软组织血供，以期达到二期骨折愈合的治疗方式已得到了人们广泛认可。锁定加压接骨板(Locking compression plate,LCP)是目前生物学内固定理念较多的内固定器材。我科自2013年12月至2015年8月，采用LCP应用MIPPO技术治疗胫骨远端粉碎性骨折25例，取得了很好的疗效