目的 总结微创接骨板技术治疗波及胫骨下端长段胫骨骨折的外科经验和临床疗效.方法 2005年1月至2008年1月,我院共25例波及胫骨下端长段胫骨骨折患者,选择动力加压钢板或胫骨下端干骺端钢板,依据微创接骨板技术原则治疗,记录所有患者,X线摄片和膝关节功能评分的随访结果.结果 所有患者术后随访6～12月,膝关节Rasmussen功能评分:优21例,良3例,可1例,优良率为96%.25例患者骨折愈合3～6月,无骨不连或延迟愈合,无软组织的感染,1例7°内翻成角畸形,1例10°外旋畸形,但终末随访得到了良好的塑形和功能.结论 微创接骨板内固定技术可减少骨折部位微循环再损伤,为骨折提供良好生物力学愈合环境,成功治疗波及胫骨下端长段胫骨骨折,降低手术并发症.%Objective To summarize the surgical experiences and clinical response of minimally invasive plate osteosynthesis(MIPO) in the treatment of length segment fracture with distal tibial. Methods From January 2005 to January 2008, 25 patients with length segment fracture with distal tibial were treated by MIPO in our department. According to the AO classification, there were 5 cases of type A, 8 type B, 12 type C. All cases were checked by radiographs and clinical examinations, and evaluated by knee Rasmussen scores. Results All patients were consecutive followed up till bone healing. No union, no reduction of plates and screws, no superficial wound infection and seromas occurred except 1 patient with 7° Valgus deformity and 1 patient with 10°. Conclusions Minimally invasive plate osteosynthesis can be used successfully to treat complex distal of tibial fracture without the need for additional medial stabilization. The MIPO provides stable fixation, high rate of union and low rate of infection of distal tibial fracture.
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