CAJ | 학술논문

目的：探讨微创经皮置入胫骨远端内侧锁定加压钢板治疗闭合性胫骨下1/3骨折的临床实用性。方法随机选取2011年3月-2014年10月间该院骨科收治6胫骨下1/3骨折的患者120例，随机分为两组，各60例。对照组行传统解剖钢板切开复位内固定术治疗，实验组行微创经皮置入胫骨远端内侧锁定加压钢板治疗，术后观察手术时间，出血量、骨折临床愈合及患肢功能恢复情况。结果实验组手术时间(44.12±4.14)min、术中出血量(50.14±10.23)mL、骨痂形成时间(7.51±2.10)d、骨折愈合时间(12.53±2.69)d均优于对照组(P<0.05)；Lowa胫骨骨折评分实验组优良率明显优于对照组(P<0.05)。结论微创经皮置入胫骨远端内侧锁定加压钢板治疗闭合性胫骨下1/3骨折临床实用性，值得推广。
목적：탐토미창경피치입경골원단내측쇄정가압강판치료폐합성경골하1/3골절적림상실용성。방법수궤선취2011년3월-2014년10월간해원골과수치6경골하1/3골절적환자120례，수궤분위량조，각60례。대조조행전통해부강판절개복위내고정술치료，실험조행미창경피치입경골원단내측쇄정가압강판치료，술후관찰수술시간，출혈량、골절림상유합급환지공능회복정황。결과실험조수술시간(44.12±4.14)min、술중출혈량(50.14±10.23)mL、골가형성시간(7.51±2.10)d、골절유합시간(12.53±2.69)d균우우대조조(P<0.05)；Lowa경골골절평분실험조우량솔명현우우대조조(P<0.05)。결론미창경피치입경골원단내측쇄정가압강판치료폐합성경골하1/3골절림상실용성，치득추엄。
Objective To explore the minimally invasive percutaneous medial distal tibia locking compression plate in the treatment of clinical utility of closed tibial 1/3 fractures. Methods from 2011 March~2014 year in October my courtyard admitted in the Department of orthopedics, 6 lower tibial 1/3 fractures in 120 patients, randomly divided into two groups with 60 cases in each. The control group received traditional anatomic plate internal fixation for treatment, experimental group underwent minimally invasive percutaneous locking compression plate in treatment of distal tibial medial, observe the operation time, bleeding volume, fracture healing and functional recovery of limb. Results The operation time of experimental group (44.12±4.14) min, amount of bleeding during operation (50.14±10.23) ml, the callus formation time (7.51±2.10) d, the healing time (12.53±2.69) d were superior to the control group (P<0.05);the Lowa score the excellent and good rate of tibial fractures in experimental group was better than that of control group (P<0.05). Conclusion Minimally invasive percutaneous medial distal tibia locking compression plate for the treatment of closed tibial 1/3 fractures clinical practicability, worthy of promotion.