经皮解剖钢板内固定治疗胫骨远端骨折

目的]探讨应用胫骨远端解剖钢板经皮植入治疗胫骨远端骨折的疗效。方法]2002年1月～2005年6月对36例胫骨远端骨折病人采取闭合复位，小切17：1手术入路植入胫骨远端解剖钢板。结果]33例获得随访，平均随访16个月，骨折均获愈合，临床愈合时间14周，按Johner—Wruhs评分法，功能优24例，良6例，中3例，差0例，优良率90．9％。结论]微创钢板内固定手术创伤小，固定可靠，骨折愈合率高，符合生物学固定原则。

Treatment of distal tibial fracture with minimally invasive anatomic plate fixation

Objective] To discuss the clinic effects of minimally invasive anatomic plate fixation in the treatment of distal tibial fracture. Method] Thirty-six patients suffered from distal tibial fracture were treated from Jan. 2002 to June 2005. All the fractures were reducted closely under radiographic C-arm device. Small incisions were performed and anatomic plates of distal tibial were implanted. Result] Thirty -three cases were followed up with the average time of 16 months. All the fractures healed with the average union time of 14 weeks. The follow - up by Johnor-Wruhs Evaluation showed 24 excellent cases, 6 good and 3 fair. The function was good or excellent in 90. 9 percent of all the patients. Conclusion] Minimally invasive plate fixation is a kind of safe and effective treatment for distal tibial fractures with the advantages of less injury and high union rate. It also meets the requirement of biological osteosynthesis.