目的 总结经皮微创锁定加压接骨板(LCP)内固定治疗胫骨骨折的方法和临床疗效.方法 对24例胫(腓)骨骨折患者采用LCP内固定治疗.在影像增强器监视下先行闭合复位或小切口切开复位,复位满意后采用经皮微创接骨术于肌肉下骨膜外置入ICP,确认位置满意后通过导向器经皮拧入锁定螺钉.术后一般不须外固定,早期功能煅练.结果 术后切口均Ⅰ期愈合.患者均获随访8～18个月,平均13个月.术后骨折均达临床愈合,愈合时间为12～20周,平均16周;无内固定失败及松动,无旋转及短缩畸形等并发症发生;骨折远近端踝膝关节功能无明显影响.结论 经皮微创LCP内固定治疗胫骨骨折符合生物力学同定原则,骨折端软组织损伤小、对骨骼血供影响小、骨折愈合及功能恢复快.%Objective To summarize minimally invasive percutaneous locking compression plate (locking compression plate, LCP) in the treatment of tibial fractures fixed method and clinical curative effect. Methods 24 cases of tibial( fibula )fractures during September 2006 and April 2010 were treated by LCP fixation treatment. In the image intensifiers under surveillance closed reduction or small incision in advance with open reduction, after satisfactory reset using minimally invasive percutaneous osteosynthesis in the muscle outside the periosteum, confirmed LCP location satisfied with percutaneous screw through the guide into the locking screws. There is generally no need. for external fixation after operation but early functional calcinations should be applied. Results Postoperative incision healed in period I. Patients were followed up for 8～18 months, average 13 months. Postoperative fracture was clinically cured, healing time for 12～20 weeks, and the average for 16 weeks. No fixation failure and loosening, no complications such as rotation and shortening deformity occurred .The far and near side ankle knee joint function of the fractures without obvious influence. Conclusion Minimally invasive percutaneous LCP internal fixation for tibial fractures fixed with biomechanics principles, little effect on the blood supply of bone,rapid fracture healing and functional recovery.
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