CAJ | 학술논문

目的：观察二期小切口自体植骨治疗胫骨中下段粉碎骨折的临床疗效。方法对15例胫骨中下段粉碎性骨折患者行一期外固定架固定，术后2～3个月行骨折端小切口取髂骨植骨。应用 Mazur 踝关节功能评分系统进行疗效评估。结果15例均获随访，时间8～12（10±2．2）个月。骨折均临床愈合，时间16～28（20．5±2．5）周。根据 Mazur 评分：优6例，良8例，可1例。结论一期外固定架固定、二期小切口自体植骨是治疗胫骨中下段粉碎骨折的有效方法。
목적：관찰이기소절구자체식골치료경골중하단분쇄골절적림상료효。방법대15례경골중하단분쇄성골절환자행일기외고정가고정，술후2～3개월행골절단소절구취가골식골。응용 Mazur 과관절공능평분계통진행료효평고。결과15례균획수방，시간8～12（10±2．2）개월。골절균림상유합，시간16～28（20．5±2．5）주。근거 Mazur 평분：우6례，량8례，가1례。결론일기외고정가고정、이기소절구자체식골시치료경골중하단분쇄골절적유효방법。
Objective To observe the effect of the second stage mini incision autologous bone graft for comminuted distal-middle tibial fracture.Methods 15 cases of the comminuted distal-middle tibial fracture were treated by exter-nal fixation at first stage,two or three months later,the mini incision autologous bone graft was done for the supple-mentation therapy.The effect was evaluated by Mazur ankle joint scoring system.Results They were all followed up for 8 ~12 (10 ±2.2)months.The time of clinic bone healing was 16 ~28(20.5 ±2.5)weeks,according to Mazur ankle joint scoring system,the results was excellent in 6 cases,good in 8,fair in 1.Conclusions It is an effective treatment mothod that the first stage fixation with external fixator and the second stage mini incision autologous bone graft for comminuted distal-middle tibial fracture.