胫骨下段解剖型钢板小切口手术治疗胫骨远端骨折

目的 探讨胫骨下段解剖型钢板小切口手术治疗胫骨远端骨折疗效。方法 2000年1月-2002年3月期间对21例胫骨远端骨折(AO／ASIF分类：A1型3例，A2型5例，A3型4例，B1型3例，C1型4例，C2型2例)采用间接复位、小切口手术人路、胫骨下段解剖型钢板内固定手术治疗。结果 18例获得随访，平均随访13.7个月，骨折均获愈合，临床愈合时间3-5个月，无畸形愈合及钢板折弯或断裂，治愈后89％伤肢基本恢复正常活动，关节功能恢复满意。结论 胫骨下段解剖型钢板设计合理，固定效果良好，结合间接复位、小切口技术对骨折进行内固定符合生物学内固定要求，疗效优良。

Treatment of distal tibial fracture with minimally invasive anatomic plate fixation

Objective To study the clinic effects of minimally invasive anatomic plate fixation in treatment of distal tibial fractures. Methods 21 patients with distal tibial fractures were treated from Jan. 2000 to Mar. 2002 with indirect reduction, small incision and fixation with an anatomic plate of distal tibia. Results The follow ups of 18 cases averaged 13.7 months. All fractures healed in 3 to 5 months after operation without malunion and breakage of the plate. About 89 percent of the injured lower extremities recovered normal motion and good joint functions. Conclusions Anatomic plate of distal tibia has advantages of reasonable design and steady fixation. The techniques of indirect reduction and minimal invasion can meet the requirements of biological osteosynthesis.