经皮支持钢板内固定治疗胫骨远端骨折

目的 探索胫骨远端骨折有效地治疗方法。方法 应用微创技术，经皮支持钢板内固定治疗胫骨远端骨折12例。在胫骨内侧建立皮下隧道，通过此隧道将支持钢板安放在胫骨内侧骨膜上，骨折间接复位，螺丝钉予以固定。结果 术后骨折愈合时间为2．6～4．8个月，平均3．2个月。本组病例均得到随访，时间12～20个月，平均16．3个月。X线示：未见骨不连及钢板断裂、松动等现象。踝关节功能恢复好。优8例，良2例，可2例。结论 经皮支持钢板内固定治疗胫骨远端骨折，创伤小，能减低对骨折处血运的干扰，提高骨折愈合率。并能提供踝关节骨折坚强内固定，以便早期功能锻炼，达到良好预后效果。

INTERNAL FIXATION OF DISTAL TIBIA FRACTURE WITH PERCUTANEOUS SUPPORTING STEEL PLATE

Objective To explore an effective treatment of distal tibia fracture.Methods 12 cases of distal tibia fracture receive internal fixation with percutaneous steel plate through microtraumatological techniques.Entocnemial subcutaneous tunnel was built and the supporting steel plate was fixed with screws to achieve indirect reduction.Results The recovery time ranged from 2.6 to 4.8 months,averaging 3.2 months.The follow-up survey lasted 12 to 20 months,averaging 16.3 months.X-ray detections showed that no nonunions of bone fragmentations or loosening were found and the ankle joints concerned recovered satisfactorily.Conclusion Internal fixation of distal tibia fracture with percutaneous supporting steel plate can cause slight trauma,reduce the interference in blood circulation at the fracture sites,promote the healing rate and provide stable fixation of fractured ankle joint.