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1、·提要目的：探讨微创经皮锁定加压钢板内固定术在治疗胫骨中下段骨折中的临床疗效及相关方法。方法：本研究病例来自山东中医药大学附属医院骨科病房自2009年8月至2011年6月收治的34例胫骨中下段骨折患者。其中男20例，女14例，年龄18～73岁，平均46岁。损伤原因：交通车祸伤20例，重物压砸伤9例，摔伤5例。胫骨干AO分型：A型6例，B型22例，C型6例。开放性骨折Gustilo分型：I型2例。术前结合临床与影像学资料对患者病情进行评定，加强对患者患肢软组织损伤情况的重视，确定合适的手术时机。短期内无法进行手术的患者，均予抬高患肢，并行跟骨牵引。术中注意对刀口的选择及对软组织的保护。术后
2、及时的指导患者进行系统的康复训练，并采取必要的措施防止并发症的发生。术后九个月按Johner-Wruhs胫骨干骨折最终结果评定方法进行功能评价，观察疗效。结果：34例患者，优28例，良3例，中3例，差0例，优良率91.2%。结论：微创经皮锁定加压钢板在治疗胫骨中下段骨折中具有适应性广、术中创伤小、术后骨折愈合快、并发症少及肢体功能恢复好等特点，取得了满意的临床疗效。关键词微创LCP钢板胫骨中下段骨折临床疗效观察···Minimallyinvasivepercutaneousplateosteosynthesis(MIPPO)withthelockingcompressionplatesy
3、stem(LCP)treatmentthetibiafractureofbelowthemiddleclinicalcurativeeffectobservationSpeciality:OrthopaedicsofTCMAuthor:FuLinTutor:Prof.XieJinAbstractObjective:DiscussMIPPOwithLCPinthetreatmentofthetibiafractureofbelowthemiddleforclinicalcurativeeffectandrelatedmethods.Methods:ThisstudyfromShandong
4、universityofChinesemedicinecasesaffiliatedhospitalsorthopedicwardfromAugust2009toJune2011,34patientsofthetibiafractureofbelowthemiddle.Amongthemmale20,female14,averageage46(18to73year).Thetrafficaccidentinjury20cases,clog9cases,fall5cases.Aoclassification:Atypein6cases,Btypein22cases,Ctypein6case
5、s.OpenfracturesGustilopointsclassification:typeIin2cases.Preoperativecombinedwithclinicalandimagingmaterialtoassesssymptomsinpatients,especiallythesofttissue,determinetherightoperationtime.Theshorttermunabletosurgerypatients,alltodriveuplimb,paralleltractionwithbone.Intraoperativepayattentiontoth
6、echoiceofthebladeandtheprotectionofthesofttissue.Postoperativeguidepatientstodorehabilitationtraining,aswellastakethenecessarymeasurestopreventcomplications.AfterninemonthsusingJohner-Wruhstibialstemstandardsofgrading,observetheclinicaleffect.Results:34patients,excellentin28,goodin3,fairin3,andpo
7、orin0.Theexcellentandgoodratewas91.2%.Conclusion:MIPPOtechnologywiththeLCPsteeltreatmentthetibiafractureofbelowthemiddlehavewideadaptability,minimallyinvasivesurgery,postoperativefracturehealing,fewercomplications,andr
