CAJ | 학술논문

　　目的探讨切开复位锁定钢板内固定和间接复位经皮锁定钢板内固定在胫骨远端骨折中的应用，并且比较两种方法的治疗效果。方法根据复位方法将84例患者分为两组：观察组和对照组。其中观察组有39例患者，给予间接复位、经皮置入锁定钢板内固定；对照组为45例患者，给予直接复位、锁定钢板内固定。结果观察组39例患者有35例患者骨折愈合，3例患者为延迟愈合，1例患者未愈合；有2例患者的切口发生了感染。对照组45例患者有31例患者骨折愈合，12例患者为延迟愈合，2例患者未愈合；有3例患者的切口发生了感染，2例患者皮肤坏死。结论胫骨远端骨折采用间位复位治疗避免了骨折端的暴露，从而使得手术中的创伤得以减少，手术后疼痛以及切口并发症减少了，疗效较好。
　　목적탐토절개복위쇄정강판내고정화간접복위경피쇄정강판내고정재경골원단골절중적응용，병차비교량충방법적치료효과。방법근거복위방법장84례환자분위량조：관찰조화대조조。기중관찰조유39례환자，급여간접복위、경피치입쇄정강판내고정；대조조위45례환자，급여직접복위、쇄정강판내고정。결과관찰조39례환자유35례환자골절유합，3례환자위연지유합，1례환자미유합；유2례환자적절구발생료감염。대조조45례환자유31례환자골절유합，12례환자위연지유합，2례환자미유합；유3례환자적절구발생료감염，2례환자피부배사。결론경골원단골절채용간위복위치료피면료골절단적폭로，종이사득수술중적창상득이감소，수술후동통이급절구병발증감소료，료효교호。
Objective Study the application of open reduction combined with locking compression plate internal ifxation and indirect reduction combined with minimally invasive percutaneous locking compression plate osteo synthesis in treatment of distaltibial fractures. Method 84 cases of distaltibial fractures was divided into two groups according to the method of reduction. 39 cases were treated with indirect reduction and minimally invasive percutaneous locking compression plate osteosynthesis, as study group. 45 cases were treated with open reduction and locking compression plateinternal ifxation, as control group. Results The study group found that bone union in 35 cases, delayed union in 3 cases, nonunion in 1 cases. Infection of incision wound in 2 cases. The control group found that bone union in 31 cases, delayed union in 12 cases, and nonunion in 2 cases. Infection of incision wound in 2 cases. Conclusion In treatment of distaltibial fracture, indirect reduction has advantages of less dissection, accelerating bone healing, and restoring ankle function.