微创经皮钢板内固定治疗胫腓骨骨折的体会

目的报道以生物学内固定及间接复位技术为基础，微创经皮LC-DCP钢板内固定治疗胫腓骨骨折的临床疗效。方法应用间接复位技术，通过建立胫骨内侧皮下隧道，采用LC-DCP钢板内固定治疗胫腓骨折28例。结果全部病例获得随访，时间为10～18个月(平均15个月)。X线片见骨痂为4～7周(平均4．6周)，骨愈合时间为12～18周(平均12．8周)。全部病例Ⅱ期骨愈合，无骨不愈合或延迟愈合，无钢板松动等并发症，其中15例已拆除钢板，无再骨折现象发生。结论微创经皮LC-DCP钢板内固定治疗胫腓骨骨折符合生物学固定的原则，疗效满意。

Percutaneous minimally invasive plating for tibiofibular fractures

Objective To discuss clinical results of the percutaneous minimally invasive LC DCP plating in treatment of tibiofibular fractures which was based on biological osteosynthesis and indirect reduction. Methods 28 patients with tibiofibular fractures were treated with indirect reduction and LC DCP plating through the tunnel inside tibia. Results All the patients were followed up for 10 to 18 months (averaging 15 m). X ray films showed that the callus appeared 4 to 7 weeks postoperatively (averaging 4.6 w). The fracture healing time were 12 to 18 weeks (averaging 12.8w). All the patients healed without fracture nonunion, delayed union or plate loosening. Plates were removed without refracture in 15 patients. Conclusions The percutaneous minimally invasive LC DCP plating for tibiofibular fractures can meet the major requirements of biological osteosynthesis and result in good results.