微创经皮钢板内固定技术联合锁定加压钢板治疗胫骨远端骨折

目的：探讨微创经皮钢板内固定（MIPPO）技术联合锁定加压钢板（LCP）治疗胫骨远端骨折疗效。方法回顾性分析该科2006年1月至2012年7月收治的70例胫骨远端骨折患者，均采用MIPPO技术联合LCP治疗。术后临床检查其软组织损伤情况、踝关节活动度、骨折对线情况以及踝关节功能Mazur评分；X射线及CT检查评估骨折愈合情况。随访时间12～24个月。结果62例（88.57%）患者骨折平稳愈合。经踝关节Mazur 评分，优良率为91.43%（64/70）。5例患者（7.14%）出现切口并发症，5例患者（7.14%）骨折延迟愈合，3例患者（4.29%）出现骨折不愈合，5例患者（7.14%）出现明显的轴向对线不良。结论经MIPPO技术结合LCP治疗，大部分患者胫骨远端骨折可获得平稳的愈合并恢复伤前的活动能力，该法是一种有效的治疗方法，但对出现的并发症应引起足够重视。

Mini-invasive percutaneous plate osteosynthesis combined with locking compression plate in treatment of distal tibial fractures

Objective To evaluate the effect of mini-invasive percutaneous plate osteosynthesis（MIPPO） combined with locking compression plate（LCP） in treatment of distal tibial fractures. Methods It was retrospectively reviewed 70 patients with distal tibia fractures treated by MIPPO combined with LCP from January 2006 to July. 2012. The patients after operation were ex-amined clinically in soft tissue injury condition,ankle joint range of motion,alignment of fracture,ankle joint Mazur functional score, X-ray and CT examination were obtained to determine fracture healing. The follow-up visit lasted 12-24 months. Results The fracture healing of 67 patients（88.57%） was uneventful. Graded by the ankle joint mazur functional score,the excellence rate was 91.43%（64/70）. Five（7.14%） found wound complications,another five（7.14%） occurred delayed union and three（4.29%） in nonunion;five in abvious axial malalignment （7.14%）. Conclusion MIPPO combined with LCP for distal tibial fractures is a feasible treatment which allowed uneventful healing and restoration of the preinjury level of function for the most patients. It is an effective therapy. However,its complications occurred should be considered and give more attention to it.