CAJ | 학술논문

目的探讨锁定加压钢板微创内固定治疗胫骨远端骨折的疗效.方法用锁定加压钢板对38例胫骨远端骨折进行微创内固定.按AO分类,A型12例,B型15例,C型11例.结果患者均获得随访,随访时间6～19个月,平均9个月,骨折全部愈合,临床愈合时间为12 ～21周,平均16周,无伤口感染、骨不连等并发症.按Mazur踝关节功能评分标准:优29例,良6例,可3例,优良率为92.1％.结论锁定加压钢板微创内固定用于胫骨远端骨折稳定可靠,有利于骨折愈合和避免较严重并发症的发生.
목적 탐토쇄정가압강판미창내고정치료경골원단골절적료효.방법 용쇄정가압강판대38례경골원단골절진행미창내고정.안AO분류,A형12례,B형15례,C형11례.결과 환자균획득수방,수방시간6～19개월,평균9개월,골절전부유합,림상유합시간위12 ～21주,평균16주,무상구감염、골불련등병발증.안Mazur과관절공능평분표준:우29례,량6례,가3례,우량솔위92.1％.결론 쇄정가압강판미창내고정용우경골원단골절은정가고,유리우골절유합화피면교엄중병발증적발생.
Objective To evaluate the effect of surgical treatment of distal tibial facture with minimally invasive perutaneous locking compression plate osteosynthesis.Methods 38 patients with distal tibial fracture were treated with minimally invasive percutaneous locking compression plate(LCP) osteosynthesis.According to AO classification,twelve patients belonged to type A,fifteen type B,and eleven type C.Results All patients were followed up for 6 to 19 months,with an average time of 9 months.The X-ray pictures showed that one-stage union was achieved in the patients,with a mean healing time of 16 weeks.No complications such as infection,non-union were found.The clinical outcomes were evaluated according to Mazur ankle joint function scoring.Twenty-nine were rated as excellent,six as good and three as fair,with the good-excellent rate of 92.1％.Conclusion Minimally invasive peteosynthesis is a kind of a good fixation in treatment of accelerating bone and soft tissue healing.