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1、LCP结合MIPPO微创治疗胫骨多段骨折［摘要］目的：探讨应用LCP结合MIPPO微创治疗胫骨多段骨折的效果。方法：应用LCP结合MIPPO技术微创治疗胫骨多段骨折25例，于胫骨前外侧建立皮(肌)下隧道，将钢板经隧道置于骨膜外，闭合间接复位或者有限切开复位，自攻型锁定螺钉固定。术后早期功能锻炼，平均8周开始部分负重。结果：随访12〜34个月，平均23个月，所有患者均达骨性愈合，愈合时间16〜38周，平均23周。参照Johner-Wruhs评分标准，优14例，良8例，中3例，差0例，总优良率达88.0°/。。
2、结论：LCP结合MIPPO技微创内固定治疗胫骨多段骨折可取得较理想的效果。［关键词］锁定加压接骨板；胫骨；多段骨折；微创经皮钢板固定［中图分类号］R683.42［文献标识码］B［文章编号］1673-7210(2011)12(a)-157-02Treatmentofmulti-segmentaltibialfractureswithLCPbyminimallyinvasivepercutaneousplateosteosynthesistechniqueYANGGuojin,LIUYulin,QIANZhon
3、gsheng,CHENWeimin,WANGGuoxiDepartmentofOrthopaedics,thePeople'sHospitalofJiangyanCity,JiangsuProvince,Jiangyan225500,China[Abstract]Objective:Toinvestigatetheclinicaleffectoflockingcompressionplate(LCP)combinedwithminimallyinvasivepercutaneousplateosteosyn
4、thesis(MIPPO)techniqueintreatingmulti-segmentaltibialfractures.Methods:25caseswithmulti-segmentaltibialfracturesweretreatedwithLCPandMIPPO.Subcutaneousorintramuscularchannelwasestablishedonanterolaterallocationoftibiaandplatewasplacedontheoutersurfaceofper
5、iosteumthroughthechannel.Afterclosedindirectreductionorlimitedopenreduction,self-tappingtypelockingscrewswereusedforfixation.Earlypostoperativefunctionalexercisewasencouragedunderguidanceandincompletelyweightloadingwasundertakenatanaveragetimeof8weeksafter
6、surgery.Results:25patientswerefollowedupfor12-34months(23monthsinaverage).Allfracturesacquiredbonyunionin16-38weeks(23weeksinaverage).AccordingtoJohner-Wruhsscore,14caseswereexcellent,8casesweregood,3caseswerefair,0casewaspoor,andtherateofexcellentandgoodw
7、as88.0%.Conclusion:Treatmentofmulti-segmentaltibialfractureswithLCPandMIPPOcangainsatisfactoryclinicaleffect.[Keywords]Lockingcompressionplate;Tibia;Multi-segmentalfractures;Minimallyinvasivepercutaneousplateosteosynthesis胫骨的多段骨折是指胫骨干有两处或两处以上骨折，大多是由于高能量暴力引
8、起，局部软组织损伤重，骨折移位或粉碎明显，骨折不愈合和感染的可能性也较高，其治疗的难度相对较高。我院自2006年2月〜2009年2月应用锁定加压接骨板(lockingcompressionplate,LCP)结合微创经皮钢板固定(minimallyinvasivepercutaneousplateosteosynthesis,MIPPO)治疗25例胫骨多段骨折，取得了满意的疗效。现报道如下：1资料与方法1.1一般
