CAJ | 학술논문

目的探讨经皮锁定钢板内固定治疗胫腓骨下段粉碎性骨折的临床疗效.方法对35例胫腓骨下段粉碎性骨折实施经皮锁定钢板内固定术治疗并进行临床观察.结果 35例获得随访,平均随访1.8年(1 ～2.5年),所有患者均骨性愈合,骨性愈合时间8～ 28周,平均14.6周.未出现深部感染、内固定松动、断裂等并发症.按Mazur评分,优17例,良16例,可1例,差1例,优良率为94.3％.结论经皮锁定钢板内固定治疗胫腓骨下段粉碎性骨折具有微创、内固定可靠、骨折愈合快、并发症少等优点.
목적 탐토경피쇄정강판내고정치료경비골하단분쇄성골절적림상료효.방법 대35례경비골하단분쇄성골절실시경피쇄정강판내고정술치료병진행림상관찰.결과 35례획득수방,평균수방1.8년(1 ～2.5년),소유환자균골성유합,골성유합시간8～ 28주,평균14.6주.미출현심부감염、내고정송동、단렬등병발증.안Mazur평분,우17례,량16례,가1례,차1례,우량솔위94.3％.결론 경피쇄정강판내고정치료경비골하단분쇄성골절구유미창、내고정가고、골절유합쾌、병발증소등우점.
Objective To explore the effect of percutaneous locking compression plate(LCP) internal fixation for distal tibial comminuted fracture.Methods 35 patients of distal tibial Comminuted fracture were treated with percutaneous locking compression plate(LCP) internal fixation.Results All patients were followed up for average 1.8 years(ranging from 1 to 2.5 years).All of cases have healed well,and the average bone healing was 14.6 weeks (ranging from 8 to 28 weeks ).All of them have no infection and no loosening or breakage of internal fixation.According to Mazur criterion,excellent effect 17 cases,good effect 16 cases,fair effect 1 case poor effect 1 case,94.3％ was excellent or good.Conclusion The LCP internal fixation for distal tibial comminuted fracture have the advantage of less invasive,good internal fixation and bone union fastly and little complications.