CAJ | 학술논문

目的：探讨采取微创技术结合锁定钢板治疗胫骨远端骨折的效果。方法：自2008年10月～2011年10月通过采取微创切开手术对胫骨远端骨折行锁定钢板内固定治疗32例患者回顾分析。结果：所有患者经过6个月～24个月（平均16个月）的随访，骨折均愈合。按照Johner和Wruhs膝踝功能评价标准评价，优21例，良7例，中3例，差1例，优良率87．5％。结论：对胫骨远端骨折，采取微创切开结合锁定钢板内固定治疗，具有手术创伤小、骨折愈合率高、并发症少等优点，有利于早期康复锻炼，能够提高临床疗效。
목적：탐토채취미창기술결합쇄정강판치료경골원단골절적효과。방법：자2008년10월～2011년10월통과채취미창절개수술대경골원단골절행쇄정강판내고정치료32례환자회고분석。결과：소유환자경과6개월～24개월（평균16개월）적수방，골절균유합。안조Johner화Wruhs슬과공능평개표준평개，우21례，량7례，중3례，차1례，우량솔87．5％。결론：대경골원단골절，채취미창절개결합쇄정강판내고정치료，구유수술창상소、골절유합솔고、병발증소등우점，유리우조기강복단련，능구제고림상료효。
Objective:To investigate the clinical efficacy of minimally invasive percutaneous plate osteosynthesis ( MIPPO) in combina-tion of locking compression plate ( LCP) for distal tibial fractures .Methods:Thirty-two patients who had received MIPPO in combination of LCP for distal tibial fractures in our hospital between October 2008 to October 2011 were involved in our retrospective investigation .Re-sults:All patients were followed up prospectively for an average of 16 months ( range 6 months to 24 months) , and all got primary heal-ing.According to Johner and Wruhs standard , the functions of ankle joint were excellent in 21 cases, good in 7 cases, may in 3cases and poor in 1 case(excellent rate:87.5%).Conclusions:Combined MIPPO and LCP in treatment of distal tibial fractures with a minimally in-vasive,higher healing rate, can be an early postoperative functional exercise ,less complications,is the treatment of distal tibial fractures as a good way.