目的 设计一种锁定钢板的定位连接装置,探讨其在应用MIPPO技术治疗中的优越性.方法 将自制锁定钢板定位连接器应用于40例下肢骨折患者手术中,其中胫腓骨骨折18例,股骨近端骨折12例,股骨远端骨折10例.结果 40例手术均顺利完成,术中未发生定位偏差;切口长度7.3～16.5(12.2±2.24)cm,术中出血量80～310(110±25)ml,术后住院时间3～12(6±2.1)d.患者均获随访,时间6～26(12±2.4)个月.骨折均骨性愈合,时间5～7个月.1例术后出现腓浅神经麻痹.结论 锁定钢板定位连接器的应用能准确定位皮下钢板钉孔,减小手术切口和术中出血量,缩短患者住院时间,是锁定钢板微创手术中一个实用小工具.%Objective To design of a locking plate positioning and connecting device, and to discuss the application of MIPPO technology. Methods Self locking plate locating connector was used in 40 cases of lower limb fracture patients in operation, including 18 cases of tibia and fibula fractures, proximal femoral fracture in 12 cases, 10 cases of distal femoral fractures. Results 40 cases of laparoscopic operation were successful, with no positional deviation; operation incision length 7. 3 ～ 16. 5( 12. 2 ±2. 24 ) cm, intraoperative bleeding volume 80 ～310( 110 ±25 ) ml,postoperative hospital stay was 3～12(6±2. 1) days. All cases were followed up for 6 ～ 26( 12 ± 2. 4 ) months, the fractures were healed, 5 to 7 months; 1 case of postoperative superficial peroneal nerve palsy. Conclusions Application of locking plate locating connector can be accurately positioned subcutaneously steel nail hole, which can reduce the operation incision and bleeding in the operation, shorten the time of hospitalization. It is a locking plate of minimally invasive operation in a practical gadget.
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