CAJ | 학술논문

目的：探讨经皮微创钢板内固定治疗胫骨干远端1/3骨折的临床效果。方法自2011年4月至2013年4月，对29例胫骨干远端1/3骨折患者，采用经皮微创植入锁定加压钢板内固定治疗，评估术中情况、骨折愈合情况、手术前后Johner-Wruh评分、术后患者满意度，以及不良反应发生情况等。结果29例患者均获得有效随访，平均随访时间（11.2±0.8）个月。平均手术时间为（70.7±12.5） min，平均术中出血量为（157.3±16.4） mL；患者X线平均愈合时间为（14.7±2.6）周，平均完全负重时间为（15.2±3.1）周；患者治疗后Johner-Wruh评分显著上升（P<0.05）；术后平均满意度评分为（93.4±2.1）分；随访发现1例不良反应。结论经皮微创钢板内固定手术是治疗胫骨干远端1/3骨折的有效方法。
목적：탐토경피미창강판내고정치료경골간원단1/3골절적림상효과。방법자2011년4월지2013년4월，대29례경골간원단1/3골절환자，채용경피미창식입쇄정가압강판내고정치료，평고술중정황、골절유합정황、수술전후Johner-Wruh평분、술후환자만의도，이급불량반응발생정황등。결과29례환자균획득유효수방，평균수방시간（11.2±0.8）개월。평균수술시간위（70.7±12.5） min，평균술중출혈량위（157.3±16.4） mL；환자X선평균유합시간위（14.7±2.6）주，평균완전부중시간위（15.2±3.1）주；환자치료후Johner-Wruh평분현저상승（P<0.05）；술후평균만의도평분위（93.4±2.1）분；수방발현1례불량반응。결론경피미창강판내고정수술시치료경골간원단1/3골절적유효방법。
Objective To investigate the clinical effect of minimally invasive percutaneous plate internal fixation in tibia fractures of distal 1/3. Methods From April 2011 to April 2013, 29 cases with tibia fractures of distal 1/3 were treated with minimally invasive percutaneous plate internal fixation. The situation of operation, the fracture healing, postoperative Johner-Wruh score, patient satisfaction after operation and the incidence of adverse reactions were evaluated. Results All the patients were followed up for (11.2 ±0.8) months. In the 29 cases, the average operation time was (70.7 ±12.5) min and the average bleeding quantity was (157.3±16.4) ml. The average radiographic healing time was (14.7±2.6) weeks and full weight-bearing time averaged (15.2±3.1) weeks. Johner-Wruh score of patients increased significantly after surgery (P<0.05). The average postoperative satisfaction score was (93.4±2.1). One case of adverse reaction was observed. Conclusion Minimally invasive percutaneous plate osteosynthesis is an effective method for the treatment of tibia fractures of distal 1/3.