摘要
目的:探讨微创植入钢板固定治疗胫骨近端开放粉碎性骨折的临床效果。方法:选择12例患者,通过各种方法复位后,于骨折两端前内侧行2￣3cm切口,部分胫骨近端选用胫前外内侧切口。骨折近端选用高尔夫球型解剖钢板透视下置入,骨折两端拧入3￣4枚螺钉。结果:本组12例经4￣22个月随访,平均14个月,全部Ⅰ期愈合。手术时间45￣160分钟。按Johner-Wruhs方法评价,优8例,良好3例,一般1例,总满意率91.7%。结论:微创钢板内固定对治疗胫骨近端开放粉碎性骨折创伤小,固定牢固,可早期功能锻炼,并发症少。
Objectlve ：To investigate the clinical results of minimally invasive plate fixation for splintered fracture of proximal tibia. Methods： 18 cases were fixed with varied reduction, small incision （2-3 cm） was made at tibial fracture and golf stick was fixed with 3--4 screws under fluoroscopy.Results：All 18 cases were healed in first stage after 4-22 months follow-up （14months in average）.The operaion time was 45-150 min （80 in average）.There were 11 cases excellent,.5 cases good and 2 cases healed with standard of Johner-Wruhs nethod,with total satisfactory rate 89.5%.Conclusion：Minimally invasive plate fixation in the treatment of splintered fracture of proximal ibia has advantages of minimal trauma,reliable fixation,early movement and fewer complications,being a valuable clinical alternative.
出处
《现代医药卫生》
2006年第8期1110-1111,共2页
Journal of Modern Medicine & Health
