MIPPO技术下运用LCP治疗胫骨远端骨折

目的探讨运用MIPPO技术结合LCP治疗胫骨远端骨折的疗效。方法自2003年2月~2005年1月期间,笔者收治27例胫骨远端骨折患者行微创经皮钢板固定技术,骨折按AO分型:A2型7例,A3型9例,B2型7例,C1型4例。平均年龄为43岁(26~72岁)。结果平均随访时间12个月(4~21个月)。按Johner-Wruhs评分标准,优19例,良7例,中1例,差0例,优良率96·3%。无伤口感染、皮肤坏死病例。结论MIPPO技术下运用LCP治疗胫骨远端骨折具有创伤小,美观,固定可靠,愈合率高,皮肤软组织感染发生少,早期功能锻炼,早期负重等优点。但术中对设备要求较高,手术内固定材料价格目前较贵。

Treatment of Distal Tibial Fractures Using MIPPO and LCP Techniques

Objective To evaluate the efficacy of MIPPO and LCP technique in treatment of distal tibial fracture.Methods During February 2003 and January 2005,27 patients with distal tibial fractures were treated with percutaneous plate fixation technique using LCP.Based on the AO fracture classification system, they were divided into A2 in 7 patients,A3 in 9 patients, B2 in 7 patients and C1 in 4 patients. The mean age was 43 years old ranging from 26 years old to 72 years old.Results The mean followed-up time was 12 months (between 4 and 21months). According to the Johner-Wruhs score classification, the excellent result was achieved in 19 patients,good in 7, acceptable in 1 and none failure in none with a satisfactory rate at 96.3%. No infection or skin putrescence occurred.Conclusion The treatment of distal tibial fracture with the MIPPO and LCP technique has the advantages such as smaller incision, nicer appearance,more stable fixation, higher healing rate, less tissue infection, and earlier functional exercise and weight bearing.However, the equipment and fixation implants are very expensive.