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《锁定加压钢板(lcp)结合mippo技术治疗胫骨远端骨折的临床疗效分析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、提要目的：探讨胫骨远端骨折的手术治疗方法，提高胫骨远端骨折的治愈率。方法：2010年3月至2011年4月收治45例胫骨远端骨折患者，行锁定加压钢板（LCP）结合MIPPO技术治疗，其中左侧21例，右侧23例，双侧1例，合并腓骨骨折30例；男26例,女19例,年龄17～76岁，平均年龄42.1岁。术前进行软组织评估,明确手术时机；术中注意保护软组织，合理选择内固定物及其固定方式；术后积极指导患者进行患肢功能康复锻炼以减少并发症的发生。临床随访12个月~14个月,平均随访时间为12.6个月，定期X线片复查，观察胫骨骨折愈合情况，并检查术后并发症和踝关节功能活动情况
2、。结果：术后骨折全部骨性愈合。按：Johner-Wruhs关节功能评定标准：术后12周，45例患者优23例，良12例，可7例，差3例，优良率为77.78%；术后1年45例患者优26例，良14例，可5例，差0例，优良率为88.89%。结论：选择锁定加压钢板（LCP）结合MIPPO技术治疗胫骨远端骨折固定可靠稳定，效果好，早期合理功能锻炼，降低术后并发症的发生率。关键词锁定加压钢板；MIPPO技术；胫骨远端骨折TheClinicalEfficacyAnalysisofCombinationLCPandMIPPOSurgicalTreatmentforDistalT
3、ibialFractureSpeciality：OrthopaedicsofTCMAuthor：XuYiTutor：Prof.QiShangfengAbstractObjective:Toresearchsurgicaltreatmentfordistaltibialfracture,improvethecurerate.Methods:FormMarch2010toApril2011,45casesofdistaltibialfracturesweretreatedwithlockingcompressionplate(LCP)combinedwithMIP
4、PO.21patientswereatleftknees,23wereatrightknees,1wereatbilateralknees,30concomitantfibulafractures.Therewere26casesmaleand19casesfemaleagingfrom20to68(mean38.2).Preoperativeevaluationofsofttissueclearsthetimingofsurgery;insurgery,weshouldpayattentiontotheprotectionofthesofttissue,th
5、ereasonablechoiceoffixationanditsfixedway;aftersurgery,weshouldguidepatientstodolimbfunctionandrehabilitationexercisetoreducetheincidenceofcomplications.Thesepatientswerefollowedupfrom12monthsto14yearswithanaveragetime12.5months.X-rayre-inspectedregularly,observedthestationsoftibial
6、fracturehealing,andcheckedthepostoperativecomplicationsandtheactivitiesofanklefunction.Results:Allfracturereachedbonehealing.Press:toJohner-Wruhsjointfunctionassessmentstandards:45caseswerefollowedup,12weekspostoperationexcellentin23,goodin12,fairin7andpoorin3,and77.78%excellentorgo
7、odresultswereobtained;oneyearpostoperationexcellentin26,goodin14,fairin5,andpoorin0.89.58%excellentorgoodresultswereobtained.Conclusion：Useoflockingcompressionplate(LCP)combinedwithMIPPOtechniqueinthetreatmentofdistalTibialfracturecanhavereliableandstablefixationandexcellentclinical
8、effect.Earlyreasona
