中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (35): 6518-6521.doi: 10.3969/j.issn.1673-8225.2011.35.014

• 骨科植入物 orthopedic implant • 上一篇    下一篇

Meta接骨板与锁定钢板置入内固定治疗胫骨远端干骺端骨折的比较

马  童，蔡珉巍，刘晓东，涂意辉   

  1. 上海市杨浦区中心医院，上海市     200090
  • 收稿日期:2011-03-22 修回日期:2011-05-09 出版日期:2011-08-27 发布日期:2011-08-27
  • 作者简介:马童★，男，1982年生，安徽省凤阳县人，汉族，上海交通大学毕业，硕士，医师，主要从事四肢创伤方面的研究。 ivannma@yahoo.com.cn

Minimally invasive percutaneous plate osteosynthesis for distal metaphyseal fracture of tibia: Meta plate versus locking plate

Ma Tong, Cai Ming-wei, Liu Xiao-dong, Tu Yi-hui   

  1. Department of Orthopedic Surgery, Shanghai Yangpu District Central Hospital, Shanghai 200090, China
  • Received:2011-03-22 Revised:2011-05-09 Online:2011-08-27 Published:2011-08-27
  • About author:Ma Tong★, Master, Physician, Department of Orthopedic Surgery, Shanghai Yangpu District Central Hospital, Shanghai 200090, China ivannma@yahoo.com.cn

PDF

439

被引次数

20

摘要：

背景：经皮微创钢板固定技术已被广泛应用于治疗复杂的胫骨远端干骺端骨折，不同类型钢板在治疗中有其独特的优点。
目的：比较运用经皮微创钢板固定技术以Meta接骨板与锁定钢板治疗胫骨远端干骺端骨折的效果差异。
方法：采用MIPPO技术治疗胫骨远端干骺端骨折患者23例，16例应用Meta钢板固定，7例应用锁定钢板固定。观察切口愈合情况及并发症，随访时采用AOFAS踝部评分标准评估内固定结果。
结果与结论：随访12~19个月，平均13.8个月。按AOFAS踝与后足主观评分标准，平均93分。骨愈合平均时间14.1周，无骨不连，1例成角畸形，1例浅表感染。两组治疗优良率差异无显著性意义(P > 0.05)。提示运用经皮微创钢板固定技术以Meta接骨板或锁定钢板治疗胫骨远端干骺端骨折均具有良好的效果。

关键词: 胫骨远端骨折, 干骺端, 微创, 经皮钢板, Meta钢板, 锁定钢板

Abstract:

BACKGROUND: Minimally invasive percutaneous plate osteosynthesis has become widely used for the treatment of distal metaphyseal fracture of the tibia. Different plates have their own unique advantages.
OBJECTIVE: To evaluate the efficacy of minimally invasive percutaneous plate osteosynthesis with Meta plate versus locking plate in the treatment of distal metaphyseal fracture of the tibia.
METHODS: Twenty-three cases of distal tibia fractures were treated with MIPPO technique, including 16 cases undergoing Meta plate fixation and 7 undergoing locking plate fixation. The incision and complications were observed. The results were evaluated by AOFAS scores.
RESULTS AND CONCLUSION: All patients were followed up for average 13.8 months, ranging from 12 to 19 months. The average healing period was 14.1 weeks. Using the AOFAS ankle-hindfoot scale, the average score was 93 points. One patient had loss of alignment, and one underwent superficial infection. Minimally invasive plate osteosynthesis with Meta plate or locking plate is safe and effective for distal metaphyseal fracture of the tibia.

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