摘要【目的】探讨锁定加压钢板(LCP)结合经皮微创钢板内固定(MIPPO)治疗老年(>65岁)胫骨远端骨折的临床疗效。【方法】将60例胫骨远端骨折老年患者随机分为两组,腰硬联合麻醉下行手术治疗,观察组采取LCP结合MIPPO治疗,术中根据骨折类型不同、骨折线长度选择适宜LCP,并根据生理弧度给予预弯,选择内踝向上作切口,置入钢板,透视对位良好后,螺钉固定。对照组给予开放内固定治疗,比较两组疗效。【结果】观察组术中出血量、手术时间等相关指标均低于对照组(P<0.05)。观察组踝关节功能优良率优于对照组(93.3% vs 70.0%,P<0.05)。观察组并发症发生率低于对照组(3.3% vs 20.0%,P<0.05)。【结论】老年胫骨远端骨折患者应用LCP结合MIPPO治疗可取的满意疗效,且应用安全,值得临床推广。
Abstract：【Objective】To investigate the clinical value of locking compression plate (LCP) combined with Minimally Invasive Percutaneous Plate Osteosynthesis(MIPPO) in the treatment of elderly patients (>65) with distal tibial fractures. 【Methods】Sixty patients with distal tibial fractures were enrolled in this study and were randomly assigned to two groups: the observation group was treated with LCP combined with MIPPO while the control group was treated with the open fixation method. In the observation group, the suitable LCP was assigned according to the different fracture types and fracture lengths, and prebending was done according to the physiological radial degrees of each patient. After assigning the suitable LCP and completing prebending, an incision was made at the medial malleolus and plate osteosynthesis was performed; perspective alignment was fixed by screws. Patients in both groups were followed up for 24 months post-operation, and the curative effects were compared. 【Results】The intraoperative bleeding volume, operation time, and other corresponding indices were lower in the observation group than in the control group. The rate of improvement in ankle joint function was higher in the observation group than in the control group (P<0.05). The rate of post-operative complications were lower in the observation group than in the control group (P<0.05). 【Conclusion】LCP combined with MIPPO technology in the treatment of elderly patients with distal tibial fractures has a better effect and it is safer to use than the generic open fixation method-and is worthy of further clinical application.
刘帆,鲍喜郎. LCP结合MIPPO技术治疗老年胫骨远端骨折30例临床观察[J]. 医学临床研究, 2016, 33(11): 2160-2162.
LIU Fan, BAO Xi-lang. Clinical Efficacy of LCP Combined with MIPPO in the Treatment of Elderly Patients with Distal Tibial Fractures:30 Cases Report. JOURNAL OF CLINICAL RESEARCH, 2016, 33(11): 2160-2162.
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2016, Vol. 33 
