医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
17期
215-216
,共2页
胫骨远端骨折%MIPPO%LCP%微创%有限切开
脛骨遠耑骨摺%MIPPO%LCP%微創%有限切開
경골원단골절%MIPPO%LCP%미창%유한절개
Distal tibial fracture%MIPPO%LCP%Minimal y invasive%Limited incision
目的：总结应用微创经皮钢板接骨术（Minimal y invasive percutaneous plate osteosynthesis，MIPPO）及折断有限切开（limited incision）联合锁定加压钢板（Locking compression plate，LCP）治疗胫骨远端骨折的临床疗效。方法2010年1月~2012年10月，应用 MIPPO技术及折断有限切开联合 LCP治疗20例胫骨远端骨折患者的临床资料进行分析。结果所有患者切口均Ⅰ期愈合。9例患者于术后1年左右取出内固定物。术后12月，按Baird-Jackson踝关节评分系统，优13例，良4例，中2例，差1例，优良率85%。患者骨折全部愈合，骨折愈合时间为14～21w，平均16w。按Johner Wruhs评价标准，优16例，良3例，中1例，差0例。结论 MIPPO技术及有限切开结合LCP治疗胫骨远端骨折，大大降低了骨折延迟愈合或不愈合的发生率，具有功能恢复快、术后并发症少等优点，值得临床推广应用。
目的：總結應用微創經皮鋼闆接骨術（Minimal y invasive percutaneous plate osteosynthesis，MIPPO）及摺斷有限切開（limited incision）聯閤鎖定加壓鋼闆（Locking compression plate，LCP）治療脛骨遠耑骨摺的臨床療效。方法2010年1月~2012年10月，應用 MIPPO技術及摺斷有限切開聯閤 LCP治療20例脛骨遠耑骨摺患者的臨床資料進行分析。結果所有患者切口均Ⅰ期愈閤。9例患者于術後1年左右取齣內固定物。術後12月，按Baird-Jackson踝關節評分繫統，優13例，良4例，中2例，差1例，優良率85%。患者骨摺全部愈閤，骨摺愈閤時間為14～21w，平均16w。按Johner Wruhs評價標準，優16例，良3例，中1例，差0例。結論 MIPPO技術及有限切開結閤LCP治療脛骨遠耑骨摺，大大降低瞭骨摺延遲愈閤或不愈閤的髮生率，具有功能恢複快、術後併髮癥少等優點，值得臨床推廣應用。
목적：총결응용미창경피강판접골술（Minimal y invasive percutaneous plate osteosynthesis，MIPPO）급절단유한절개（limited incision）연합쇄정가압강판（Locking compression plate，LCP）치료경골원단골절적림상료효。방법2010년1월~2012년10월，응용 MIPPO기술급절단유한절개연합 LCP치료20례경골원단골절환자적림상자료진행분석。결과소유환자절구균Ⅰ기유합。9례환자우술후1년좌우취출내고정물。술후12월，안Baird-Jackson과관절평분계통，우13례，량4례，중2례，차1례，우량솔85%。환자골절전부유합，골절유합시간위14～21w，평균16w。안Johner Wruhs평개표준，우16례，량3례，중1례，차0례。결론 MIPPO기술급유한절개결합LCP치료경골원단골절，대대강저료골절연지유합혹불유합적발생솔，구유공능회복쾌、술후병발증소등우점，치득림상추엄응용。
Objective To summarize the application of minimal y invasive percutaneous plate osteosynthesis (Minimal y invasive percutaneous plate osteosynthesis, MIPPO) and break (limited incision) combined with limited open reduction and locking compression plate (Locking compression plate, LCP) the clinical curative ef ect of treatment of fractures of the distal tibia. Methods In 2010 January to 2012 October, the application of MIPPO technology and the breaking limited incision combined with LCP in the treatment of the clinical data of 20 patients with distal tibial fractures were analyzed. Results Al the wounds healed primarily. 9 patients in 1 years after surgery or removed internal fixation. After December, according to Baird-Jackson ankle joint scoring system, 13 cases were excellent, good in 4 cases, in 2 cases, poor in 1 cases, the excellent and good rate was 85%. Al cases of fracture healing, fracture healing time was 14 ~ 21 weeks, average 16 weeks. According to JohnerWruhs evaluation criteria, excellent in 16 cases, good in 3 cases, in 1 cases, poor in 0 cases. Conclusion MIPPO technology and limited incision combined with LCP in the treatment of distal tibial fracture, greatly reducing the incidence of delayed union or nonunion of fractures has advantages of fast, functional recovery, fewer complications, is worthy of clinical application.
