目的:探讨用手法整复,经皮锁定钢板内固定治疗胫腓骨中下段骨折的临床疗效.方法:2006年1月至2009年10月,采用闭合整复锁定钢板内固定治疗此类损伤46例,男27例,女19例;年龄17～56岁,平均39岁.骨折按AO分型:A型12例,B型24例,C型10例.入院至手术时间2 h～3 d,伤后患者患肢肿胀,疼痛,可及骨擦音.术后对患者伤口情况,患肢功能,骨折愈合方面进行观察.结果:术后所有病例切口Ⅰ期愈合,未见感染.骨折的愈合时间为12～18周,平均14周.46例患者获得随访,随访时间12～18个月,平均15个月,疗效结果,治愈40例,好转4例,未愈2例.结论:手法整复锁定钢板内固定治疗此类骨折损伤小、固定可靠、骨折愈合快,功能恢复好.%Objective :To investigate the clinical effects of manipulative reduction and percutaneous locking compression plate internal fixation for the treatment of mid-distal tibiofibula shaft fractures.Methods: From January 2006 to October 2009,46 patients suffering from mid-distal tibiofibula shaft fractures were treated with closed manipulative reduction and LCP,involved 27 males and 19 females with an average age of 39 years old ranging from 17 to 56 years.According to AO classification, there were 12 cases of type A, 24 of type B, 10 of type C.The duration of visiting hospital were from 2 hours to 3 days after being injured for these patients.The injured limbs of the patients were swollen and painful,even with bony crepitus.The wound, function of the injured limb and union of fractures were observed after operation.Results: All the patients were followed up from 12 to 18 months (averaged 15 months).It was found that the wound of all patients had primary healing without any infection.The fracture healing time was 12 to 18 weeks (means 14 weeks).The results were excellent in 40 cases,good in 4 and fair in 2.Conclusion:Less invasive, more stable fixation, shorter healing time and better functional rehabilitation areobserved in the treatment of mid-distal tibiofibula shaft fractures after manipulative reduction and percutaneous locking compression plate internal fixation.
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