组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2013, Vol. 9 ›› Issue (6): 334-353.doi: 10.3969/j.issn.1673-0364.2013.06.009

• 论著 • 上一篇    下一篇

经皮微创钢板内固定治疗胫骨干远端1/3骨折

郑勇，史法见，赵晓龙   

  1. 东南大学附属南京江北人民医院骨科
  • 发布日期:2020-07-23

Minimally Invasive Percutaneous Plate Internal Fixation in Tibia Fractures of Distal 1/3

ZHENG Yong,SHI Fajian,ZHAO Xiaolong   

  1. Department of Orthopaedics, Jiangbei People’s Hospital, Southeast University;
  • Published:2020-07-23

摘要： 目的探讨经皮微创钢板内固定治疗胫骨干远端1/3骨折的临床效果。方法自2011年4月至2013年4月,对29例胫骨干远端1/3骨折患者,采用经皮微创植入锁定加压钢板内固定治疗,评估术中情况、骨折愈合情况、手术前后Johner-Wruh评分、术后患者满意度,以及不良反应发生情况等。结果 29例患者均获得有效随访,平均随访时间(11.2±0.8)个月。平均手术时间为(70.7±12.5)min,平均术中出血量为(157.3±16.4)mL;患者X线平均愈合时间为(14.7±2.6)周,平均完全负重时间为(15.2±3.1)周;患者治疗后Johner-Wruh评分显著上升(P<0.05);术后平均满意度评分为(93.4±2.1)分;随访发现1例不良反应。结论经皮微创钢板内固定手术是治疗胫骨干远端1/3骨折的有效方法。

关键词: 微创, 钢板内固定, 胫骨, 骨折

Abstract: Objective To investigate the clinical effect of minimally invasive percutaneous plate internal fixation in tibia fractures of distal 1/3. Methods From April 2011 to April 2013, 29 cases with tibia fractures of distal 1/3 were treated with minimally invasive percutaneous plate internal fixation. The situation of operation, the fracture healing, postoperative Johner-Wruh score, patient satisfaction after operation and the incidence of adverse reactions were evaluated. Results All the patients were followed up for (11.2 ±0.8) months. In the 29 cases, the average operation time was (70.7 ±12.5) min and the average bleeding quantity was (157.3±16.4) ml. The average radiographic healing time was (14.7±2.6) weeks and full weight-bearing time averaged (15.2±3.1) weeks. Johner-Wruh score of patients increased significantly after surgery (P<0.05). The average postoperative satisfaction score was (93.4±2.1). One case of adverse reaction was observed. Conclusion Minimally invasive percutaneous plate osteosynthesis is an effective method for the treatment of tibia fractures of distal 1/3.

Key words: Minimal invasive, Plate fixation, Tibia, Fracture

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