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MIPPO技术结合LCP治疗胫骨远端骨折
引用本文:张玙,徐宏光.MIPPO技术结合LCP治疗胫骨远端骨折[J].皖南医学院学报,2010,29(1):30-32.
作者姓名:张玙  徐宏光
作者单位:皖南医学院附属弋矶山医院,骨二科,安徽,芜湖,241001
摘    要:目的:评价微创经皮钢板内固定术(MIPPO)结合LCP在胫骨远端骨折中的治疗效果。方法:16例胫骨远端骨折患者采用此方法治疗。骨折按AO分型:A型11例,B型1例,C型4例。其中7例合并腓骨骨折。总体疗效以手术耗时、术中输血、术后疼痛程度、伤口愈合情况、Mazur评分、骨折愈合时间及并发症来综合评定。结果:手术时间60~150min;术中出血70~250ml,均未输血;切口均一期愈合。X线片示骨痂出现时间5~12周。骨折临床愈合时间4~12个月。以Mazur方法评定踝关节功能:优11例,良4例,中1例,差0例,优良率为93.8%。结论:MIPPO技术结合LCP治疗胫骨远端骨折能最大限度地保护骨折部位血供,促进骨折愈合和患肢功能恢复。

关 键 词:微创  内固定  胫骨骨折

Minimally invasive percutaneous plate osteosynthesis in combination of locking compression plate for distal tibial fractures
ZHANG Yu,XU Hong-guang.Minimally invasive percutaneous plate osteosynthesis in combination of locking compression plate for distal tibial fractures[J].Acta Academiae Medicinae Wannan,2010,29(1):30-32.
Authors:ZHANG Yu  XU Hong-guang
Institution:ZHANG Yu,XU Hong-guangNo.2 Department of Orthopaedics,Yijishan Hospital,Wannan MedicalUniversity,Wuhu 241001,China
Abstract:Objective:To evaluate the therapeutic effects of minimally invasive percutaneous plate osteosynthesis (MIPPO) in combination of locking compression plate(LCP) for distal tibial fractures. Methods:Sixteen patients of distal tibial fractures were treated with MIPPO and LCP. By AO classification system,11 cases were fallen into type A fracture,1 type B and 4 type C. Seven cases were complicated with fibular fracture. The comprehensive effects were evaluated regarding the time consuming of procedure,volume of i...
Keywords:minimal invasion  internal fixation  tibial fractures  
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