MIPPO技术治疗胫骨远端骨折的疗效观察

发布时间：2018-02-13 19:53

本文关键词： 微创接骨板技术胫骨远端骨折内固定　出处：《临床医药文献电子杂志》2016年54期 　论文类型：期刊论文

【摘要】：目的总结微创接骨板技术(MIPPO)技术的临床经验,探讨Mippo技术治疗胫骨骨折的疗效。方法选取2013年1月~2015年12月我院收治的使用MIPPO技术治疗的胫骨骨折52例患者为研究对象,以手术时间、术中出血量、术后引流量、切口愈合情况、骨折愈合情况作为评估指标,术后定期随访并使用Johner-Wruhs评分评定疗效。结果 52例均获得8~24个月随访,平均随访(11.8±2.8)月,平均手术时间85 min,平均术中出血量65 mL,平均术后引流量60 mL,平均伤口愈合时间15.5天,平均骨折愈合时间14~37周,其中1例骨折不愈合,所有患者均未出现切口感染、皮缘坏死及内固定物松动断裂等并发症,Johner-Wruhs评分:优40例,良11例,差1例,优良率90.4%。结论 MIPPO技术治疗胫骨远端骨折术中软组织剥离少,出血量及引流量少,术后骨折并发症少,可以安全有效的治疗胫骨远端复杂骨折,在临床应用中取得满意疗效。
[Abstract]:Objective to summarize the clinical experience of minimally invasive plate technique (MIPPO) in the treatment of tibial fractures. Methods 52 cases of tibial fractures treated with MIPPO technique from January 2013 to December 2015 were selected as the study objects. The operative time, intraoperative bleeding volume, postoperative drainage volume, wound healing and fracture healing were evaluated. The results were evaluated by Johner-Wruhs score. Results 52 cases were followed up for 8 to 24 months (mean 11.8 卤2.8) months. The average operative time was 85 minutes, the average intraoperative bleeding was 65 mL, the average drainage was 60 mL, the average wound healing time was 15.5 days, and the average fracture healing time was 1437 weeks. Johner-Wruhs score of dermatogenous necrosis and loose fracture of internal fixator: excellent 40 cases, good 11 cases, poor 1 case, excellent and good rate 90.4%. Conclusion MIPPO technique for distal tibial fractures has less soft tissue exfoliation, less bleeding and less drainage. The complications of postoperative fracture are less and can be used safely and effectively to treat complex distal tibial fractures, and satisfactory results have been obtained in clinical application.
【作者单位】：内蒙古医科大学第三附属医院(内蒙古包钢医院)手足踝外科;
【分类号】：R687.3

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