CAJ | 학술논문

目的探讨应用经皮微创接骨板技术(MIPPO)治疗胫骨远端骨折的临床疗效.方法 2010年6月至2014年6月,北京中日友好医院创伤骨科应用微创经皮接骨板技术(MIPPO)技术联合胫骨远端低切迹锁定加压接骨板治疗67例胫骨远端骨折的患者,对骨折愈合情况、功能等进行评估.结果 67例患者得到有效随访,平均时间15(6 ～20)个月.切口均一期愈合,3周拆线.12～16周均达到骨折临床愈合标准下地负重,无骨折畸形愈合和不愈合病例,无接骨板和螺钉断裂、松动、退出等现象.根据Johner-Wruch标准对术后功能进行评定,优45例,良16例,可6例,差0例.结论 MIPPO技术联合胫骨远端内侧低切迹锁定加压接骨板治疗胫骨远端骨折符合生物学接骨术要求,是值得提倡推广的骨折治疗方法.
목적 탐토응용경피미창접골판기술(MIPPO)치료경골원단골절적림상료효.방법 2010년6월지2014년6월,북경중일우호의원창상골과응용미창경피접골판기술(MIPPO)기술연합경골원단저절적쇄정가압접골판치료67례경골원단골절적환자,대골절유합정황、공능등진행평고.결과 67례환자득도유효수방,평균시간15(6 ～20)개월.절구균일기유합,3주탁선.12～16주균체도골절림상유합표준하지부중,무골절기형유합화불유합병례,무접골판화라정단렬、송동、퇴출등현상.근거Johner-Wruch표준대술후공능진행평정,우45례,량16례,가6례,차0례.결론 MIPPO기술연합경골원단내측저절적쇄정가압접골판치료경골원단골절부합생물학접골술요구,시치득제창추엄적골절치료방법.
Objective To explore the application of minimally invasive percutaneous plate osteosynthesis (MIPPO) the clinical curative effect of treatment of fractures of the distal tibia.Methods From 2010 June to 2014 June,the application of MIPPO technology combined with LCP(low bend medial distal tibial plates) for treatment of 67 cases of distal tibial fracture patients,to evaluate the healing of fracture,function etc.Results 67 patients with effective follow-up,time was 6-20 months,mean 15 months.The incision healed in one stage,3 weeks.The effect of 12-16 weeks to fracture healing standard weight,nomalunion and nonunion cases,no fracture,bone plate and screw loosening,exit and other phenomena.The postoperative function was evaluatedaccording to Johner-Wruch criteria,excellent in 45 cases,good in 16 cases,6 cases,poor in 0 cases.Conclusion MIPPO technique combined with LCP (low bend medial distal tibial plates) in treatment of distal tibial fractures in accord with biological osteosynthesis requirements,is a recommendable method to treat fracture extension.