MIPPO技术结合LCP内固定治疗胫骨干开放性骨折

目的探讨微创经皮钢板接骨术（minimally invasive percutaneous plate osteosynthesis,MIPPO）结合锁定加压钢板（locking compression plate,LCP）内固定治疗胫骨干开放性骨折的疗效。方法 2005年3月-2009年5月,采用MIPPO技术结合LCP内固定治疗16例胫骨干开放性骨折患者。按Gustilo分型：Ⅰ型4例,Ⅱ型12例。结果所有患者获随访23个月（12～35个月）。按照Johner-Wruhs评分,优10例,良4例,可2例,优良率为87.5%。结论 MIPPO技术结合LCP内固定治疗胫骨干开放性骨折具有创伤小、固定可靠、并发症少、临床效果满意等优点,是治疗胫骨干开放性骨折的一种良好方法。

MIPPO technique and LCP internal fixation for open tibial shaft fractures

Objective To explore the efficacy of minimally invasive percutaneous plate osteosynthesis （MIPPO） technique and locking compression plate （LCP） for open tibial shaft fractures. Methods From March 2005 to May 2009, 16 cases with open tibial shaft fractures were treated by MIPPO technique combined with LCP. According to Gustilo typing, there was 4 cases of Ⅰ type and 12 cases of Ⅱ type. Results All cases were followed up from 12 to 35 months （average 23 months）. According to Johner-Wruhs＇ functional grading system, the result was excellent in 10 cases, good in 4 cases and fair in 2 cases, with the excellent and good rate of 87.5%. Conclusion MIPPO technique combined with LCP for open tibial shaft fracture is an effective method for the treatment of open tibial shaft fractures with advantages of minimal invasive, stable internal fixation, less complication and satisfactory clinical effects.