| 微创经皮钢板内固定治疗胫骨Pilon骨折 |
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| 引用本文： | 杨华刚,廖鹏,陈仲,杨洪昌,吴兆祥,汪颖.微创经皮钢板内固定治疗胫骨Pilon骨折[J].昆明医学院学报,2007,28(2):65-68. |
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| 作者姓名： | 杨华刚 廖鹏 陈仲 杨洪昌 吴兆祥 汪颖 |
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| 作者单位： | 云南省第二人民医院创伤外科,云南昆明650021 |
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| 摘 要： | 目的探讨微创经皮钢板内固定（MIPPO）治疗胫骨Pilon骨折的方法和疗效.方法49例胫骨Pilon骨折23例采用微创经皮钢板内固定,26例采用传统切开复位钢板内固定,进行对比研究.结果MIPPO治疗组的手术失血量和并发症较传统钢板内固定治疗组显著减少,骨折愈合更快,踝关节功能恢复更满意.结论微创经皮钢板内固定治疗胫骨Pilon骨折符合生物学内固定要求,降低软组织手术损伤,有利于骨折的愈合和踝关节功能的恢复,是治疗胫骨Pilon骨折的有效方法.
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| 关 键 词： | 胫骨 Pilon骨折 微创 内固定 |
| 文章编号： | 1003-4706(2007)02-0065-04 |
| 修稿时间： | 2006-11-20 |
Treatment of Tibial Pilon Fracture by Minimally Invasive Percutaneous Plate Osteosynthesis |
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| YANG Hua-Gang,LIAO Peng,CHEN Zhong,YANG Hong-chang,WU Zhao-xiang,WANG Ying.Treatment of Tibial Pilon Fracture by Minimally Invasive Percutaneous Plate Osteosynthesis[J].Journal of Kunming Medical College,2007,28(2):65-68. |
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| Authors: | YANG Hua-Gang LIAO Peng CHEN Zhong YANG Hong-chang WU Zhao-xiang WANG Ying |
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| Abstract: | Objective To study the methods and effect of minimally invasive percutaneous plate osteosynthesis(MIPPO) on tibial Pilon fracture.Methods 49 cases of tibial Pilon fracture hospitalized,23 cases(group A) with minimally invasive percutaneous plate osteosynthesis(MIPPO) by indirect reduction and 26 cases(group B) with open restoration internal fixation by prospective contrast investigation.Results Compared with group B,the amount of blood loss and complications in group A markedly decreased,the healing of fracture was faster,the functional rehabilitation of ankle joint was more satisfactory.Conclusion Minimally invasive percutaneous plate osteosynthesis(MIPPO)on tibial Pilon fracture can meet the requirements of biological osteosynthesis,degrade soft tissue operation injury,be beneficial to fracture healing and functional rehabilitation of ankle joint.MIPPO is a safe and effective technique of tibial Pilon fracture. |
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| Keywords: | Tibial Pilon fracture Minimal invasive Internal fixation |
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