CAJ | 학술논문

目的：探讨微创经皮钢板内固定（MIPPO）技术联合锁定加压钢板（LCP）治疗胫骨远端骨折疗效。方法回顾性分析该科2006年1月至2012年7月收治的70例胫骨远端骨折患者，均采用MIPPO技术联合LCP治疗。术后临床检查其软组织损伤情况、踝关节活动度、骨折对线情况以及踝关节功能Mazur评分；X射线及CT检查评估骨折愈合情况。随访时间12～24个月。结果62例（88.57%）患者骨折平稳愈合。经踝关节Mazur 评分，优良率为91.43%（64/70）。5例患者（7.14%）出现切口并发症，5例患者（7.14%）骨折延迟愈合，3例患者（4.29%）出现骨折不愈合，5例患者（7.14%）出现明显的轴向对线不良。结论经MIPPO技术结合LCP治疗，大部分患者胫骨远端骨折可获得平稳的愈合并恢复伤前的活动能力，该法是一种有效的治疗方法，但对出现的并发症应引起足够重视。
목적：탐토미창경피강판내고정（MIPPO）기술연합쇄정가압강판（LCP）치료경골원단골절료효。방법회고성분석해과2006년1월지2012년7월수치적70례경골원단골절환자，균채용MIPPO기술연합LCP치료。술후림상검사기연조직손상정황、과관절활동도、골절대선정황이급과관절공능Mazur평분；X사선급CT검사평고골절유합정황。수방시간12～24개월。결과62례（88.57%）환자골절평은유합。경과관절Mazur 평분，우량솔위91.43%（64/70）。5례환자（7.14%）출현절구병발증，5례환자（7.14%）골절연지유합，3례환자（4.29%）출현골절불유합，5례환자（7.14%）출현명현적축향대선불량。결론경MIPPO기술결합LCP치료，대부분환자경골원단골절가획득평은적유합병회복상전적활동능력，해법시일충유효적치료방법，단대출현적병발증응인기족구중시。
Objective To evaluate the effect of mini-invasive percutaneous plate osteosynthesis(MIPPO) combined with locking compression plate(LCP) in treatment of distal tibial fractures. Methods It was retrospectively reviewed 70 patients with distal tibia fractures treated by MIPPO combined with LCP from January 2006 to July. 2012. The patients after operation were ex-amined clinically in soft tissue injury condition,ankle joint range of motion,alignment of fracture,ankle joint Mazur functional score, X-ray and CT examination were obtained to determine fracture healing. The follow-up visit lasted 12-24 months. Results The fracture healing of 67 patients(88.57%) was uneventful. Graded by the ankle joint mazur functional score,the excellence rate was 91.43%(64/70). Five(7.14%) found wound complications,another five(7.14%) occurred delayed union and three(4.29%) in nonunion;five in abvious axial malalignment (7.14%). Conclusion MIPPO combined with LCP for distal tibial fractures is a feasible treatment which allowed uneventful healing and restoration of the preinjury level of function for the most patients. It is an effective therapy. However,its complications occurred should be considered and give more attention to it.