【作者】 金光文；

【导师】 李林；

【作者基本信息】 延边大学 ， 外科学， 2009， 硕士

【摘要】 目的:探讨锁定加压接骨板(LCP)外固定治疗胫骨骨折中的应用要点、适应症和并发症的预防。方法:自2006年10月至2008年8月应用锁定加压接骨板(LCP)外固定方法治疗胫腓骨骨折38例。其中男26例,女12例;年龄12～74岁,平均年龄45岁;胫骨平台骨折10例,胫骨干骨折19例,胫骨下端(Pilon)骨折9例;闭合性骨折29例,开放性骨折9例。手术采用透视下复位LCP外固定方法固定骨折。术后每月随访1次。结果:术后随访8～18个月,平均10个月。38例患者均达到功能复位,并获得骨性愈合。除一例开放性骨折患者出现皮肤坏死伤口延迟愈合外,其余患者均一期愈合。骨折平均愈合时间为8个月。按Johner-Wruhs功能评价法,优23例,良13例,可2例,优良率94.7%。结论:应用LCP外固定方法治疗胫腓骨骨折,手术操作简便,并发症少,可早期功能锻炼,是良好的治疗胫腓骨骨折的微创手术方法。更多还原

【Abstract】 Objective: To approach clinical therapeutic effect、indication、prevention of complication of tibiofibula fractures which were treated by external fixation with the locking compression plate system.Methods: To treat thirty-eight tibiofibula fracture patients from October 2006 to Augest 2008 by external fixation with the locking compression plate system. There are 26 male patients and 12 female patients.They aged from 12 to 74,and their average age is 45.There are 10 tibial plateau fracture patients, for tibial shaft fracture the number is 19,and for Pilon fracture the number is 9.Closed fracture is 29,and compound fracture is 9.We treated these tibiofibula fracture patients by under perspective reduction and external fiaxtion using the locking compression plate system.All the patients were rechecked once a month after the operation.Results: All the patients were observed for 8～18 months, 10 months by average.All the fractures got functional reduction and became bone union.All the cases got primary healing,except a compound fracture case which got skin necrosis and delayed healing.The average time of the bone union is 8 months.We evaluated the cases by the Johner-Wruhs’s fanctional effective standard of tibiofibula fracture:The number of excellent cases is 23,and the number of good cases is 13, common case is 2, fine rate is 94.7%.Conclusion: External fiaxtion with the locking compression plate system, which got lower ratio of complication and allowed patients to do fanctional exercises immediately,is a convient operation treating the tibiofibula fractures.lt is a great microoperation method to deal with tibiofibula fractures.更多还原