经皮微创钢板内固定治疗胫骨干远端1/3骨折

目的：探讨经皮微创钢板内固定治疗胫骨干远端1/3骨折的临床效果。方法自2011年4月至2013年4月，对29例胫骨干远端1/3骨折患者，采用经皮微创植入锁定加压钢板内固定治疗，评估术中情况、骨折愈合情况、手术前后Johner-Wruh评分、术后患者满意度，以及不良反应发生情况等。结果29例患者均获得有效随访，平均随访时间（11.2±0.8）个月。平均手术时间为（70.7±12.5） min，平均术中出血量为（157.3±16.4） mL；患者X线平均愈合时间为（14.7±2.6）周，平均完全负重时间为（15.2±3.1）周；患者治疗后Johner-Wruh评分显著上升（P〈0.05）；术后平均满意度评分为（93.4±2.1）分；随访发现1例不良反应。结论经皮微创钢板内固定手术是治疗胫骨干远端1/3骨折的有效方法。

Minimally Invasive Percutaneous Plate Internal Fixation in Tibia Fractures of Distal 1/3

Objective To investigate the clinical effect of minimally invasive percutaneous plate internal fixation in tibia fractures of distal 1/3. Methods From April 2011 to April 2013, 29 cases with tibia fractures of distal 1/3 were treated with minimally invasive percutaneous plate internal fixation. The situation of operation, the fracture healing, postoperative Johner-Wruh score, patient satisfaction after operation and the incidence of adverse reactions were evaluated. Results All the patients were followed up for （11.2 ±0.8） months. In the 29 cases, the average operation time was （70.7 ±12.5） min and the average bleeding quantity was （157.3±16.4） ml. The average radiographic healing time was （14.7±2.6） weeks and full weight-bearing time averaged （15.2±3.1） weeks. Johner-Wruh score of patients increased significantly after surgery （P〈0.05）. The average postoperative satisfaction score was （93.4±2.1）. One case of adverse reaction was observed. Conclusion Minimally invasive percutaneous plate osteosynthesis is an effective method for the treatment of tibia fractures of distal 1/3.