胫骨骨折_____胫骨骨折；_骨折固定术；_内；

胫骨下段粉碎性骨折的手术治疗

http://www.100md.com 《中国矫形外科杂志》 2006年第8期

胫骨骨折,,胫骨骨折；,骨折固定术；,内；,手术治疗,1临床资料,2结果,3讨论,参考文献：

     摘要：[目的]探讨胫骨下段粉碎性骨折的治疗方法和临床疗效。[方法]回顾本院自2004年5月～2005年2月，对30例胫骨下段粉碎性骨折的患者进行手术治疗。选择合适的手术时机，延期切开复位应用胫骨远端内侧解剖型钢板内固定，并对所有患者进行预防性植骨。[结果]术后随访8～17个月，平均139个月，伤口均一期愈合，所有病例获得骨性愈合，平均愈合时间127周(9～16周)。按Mazur评分标准：优22例，良6例，可2例，差0例，优良率933%，所有患者无严重并发症。[结论]胫骨远端内侧解剖型钢板是治疗胫骨下段骨折的理想内固定物，选择合适的手术时机、预防性植骨是取得满意疗效的保证。

    关键词：胫骨骨折；骨折固定术；内；手术治疗

    Operative treatment of comminuted fractures of distal tibia∥ WANG Xin,YU Guangrong,ZENG Zhili,et al.Department of Orthopaedics,Tongji Hospital of Tongji University,Shanghai 200065

    Abstract：[Objective]To investigate the curative effect and methods of distal tibial fracture by operation.[Method]From May 2004 to Feb.2005, 30 cases of distal tibial fracture were treated in the department. All cases were treated with open reduction, internal fixation with medial anatomic plates, and with bone-grafting prophylacticly in all cases. The operation would be done on 10~14 days after fracture.They were followed up and analyzed retrospectively.[Result]All cases were followed up for 8～17 months (average 13.9 months). All wounds were primary healing and all fractures obtained boneunion. Twentytwo cases were the excellent, 6 cases were the good according to Mazur's criteria. The excellent and good rate was 93.3%. All cases had no severe complication, such as wound infection, cutaneous necrosis and bone nonunion.[Conclusion]Anatomic plate of distal tibia is a perfect choice for treatment of distal tibial fracture. Operative juncture and prophylactic bone grafting were very important to obtain satisfactory effect. ......

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