【摘要】 目的观察微创技术结合锁定钢板内固定(minimally invasive percutaneous plate osteosynthesis,MIPPO)治疗胫骨多段骨折的疗效。方法采用间接复位和MIPPO技术治疗胫骨多段骨折57例,并按照Johner-Wruhs方法评价术后疗效。结果随访1~3年,骨折全部骨性愈合,愈合时间4.3~7.8个月,平均(5.1±1.8)个月。手术时间65~135 min,平均(84.7±16.8)min。术后疗效,优39例,良14例,中4例,优良率为93.0%。结论 MIPPO技术治疗胫骨多段骨折,创伤小,并发症少,能促进骨折愈合,功能恢复满意。更多还原

【Abstract】 Objective To study the curative effect of minimally invasive percutaneous plate osteosynthesis( MIPPO) treatment of multi-fragment fracture of tibia. Methods 57 patients with tibia multi-fragment fracture were treated by indirect reduction and MIPPO. Results Followed-up period ranged from 12-36 month( 21. 6 month in average) in 57 patients. All the patient had union. The mean time of the bony union was 4. 3-7. 8 months,mean( 5. 1 ± 1. 8) months. The operation time was 65-135 min,average( 84. 7 ± 16. 8) min. The patients were evaluated in regard to function with use of Johner-Wruhs system. 39 patients had excellent results,and 14 patients good,and 4 patients fair. The satisfactory rate was 93. 0%. Conclusions MIPPO is a safe and effective method for treatment of multi-fragment fracture of tibia.更多还原