目的探讨解剖型钢板经皮微创固定治疗胫骨远段粉碎性骨折的临床疗效。方法采用X线监视下间接闭合复位,经皮微创插入解剖钢板治疗胫骨远段粉碎性骨折25例。结果患者均获随访,时间6~24个月。所有伤口均一期愈合,骨折愈合时间12~26周,平均15.6周。按Johner-Wruhs评价法,优18例,良5例,中2例。无骨延迟愈合及骨不连,无感染及内固定失败等并发症发生。结论解剖型钢板经皮微创固定治疗胫骨远段粉碎性骨折,具有损伤小、感染风险低、骨折愈合快、骨延迟愈合及骨不连发生率低等优点,是一种较好的治疗方法。Objective To study the clinical results of the treatment of distal tibial comminuted fractures using minimally invasive percutaneous anatomical lateral plate fixation.Methods 25 cases of distal tibial comminuted fractures were treated with closed reduction under image intensifier and minimally invasive percutaneous anatomical lateral plate fixation.Results All the patients were followed up for 6～24 months.The wounds in all patients healed primarily;the mean time of bone union was 15.6(12~25) weeks.According to Johner-Wruhs scoring,the results were excellent in 18 cases,good in 5 and fair in 2.No delayed union,nonunion,infection and failure of fixation happened.Conclusions Treatment of distal tibial comminuted fractures using minimally invasive percutaneous anatomical lateral plate fixation provides biological fixation with better healing and lower complication rate,which is an effective and economical methods
