Oh Jong-Keun, Oh Chang-Wug, Jeon In-Ho, Kim Sung-Jung, Kyung Hee-Soo, Park Il-Hyung, Kim Poong-Taek, Ihn Joo-Chul
Ehwa Women's University Hospital, Seoul, Korea.
J Trauma. 2005 Aug;59(2):431-7. doi: 10.1097/01.ta.0000174733.67446.83.
Despite various treatment methods, proximal tibial fractures are common injuries associated with poor outcomes and high rates of complications. To improve this, a percutaneous plating technique was performed to treat proximal tibial fractures.
Twenty-four proximal tibial fractures (17 proximal fractures [AO 41] and 7 proximal shaft fractures [AO 42]) were treated using percutaneous plating with either or both sides without bone graft. One was an open fracture.
All fractures healed. The average time for fracture healing was 16.5 weeks (range, 8-24 weeks). Complications included one case of shortening (1 cm) and two cases of malalignments; one valgus of 6 degrees and one varus of 5 degrees. There was one case of superficial infection that was healed after removal, but no patient showed deep infection. Results were evaluated by the modified Rasmussen scoring system. Most patients had excellent or good results; only one patient had fair results.
Minimally invasive percutaneous plating can provide favorable results in the treatment of proximal tibial fractures.
尽管有多种治疗方法，但胫骨近端骨折是常见损伤，其预后不佳且并发症发生率高。为改善这种情况，采用经皮钢板固定技术治疗胫骨近端骨折。
对24例胫骨近端骨折（17例近端骨折[AO 41]和7例骨干近端骨折[AO 42]）采用双侧或单侧经皮钢板固定且不植骨治疗。其中1例为开放性骨折。
所有骨折均愈合。骨折愈合的平均时间为16.5周（范围8 - 24周）。并发症包括1例短缩（1厘米）和2例畸形愈合；1例6度外翻和1例5度内翻。有1例浅表感染，去除后愈合，但无患者出现深部感染。结果采用改良Rasmussen评分系统评估。大多数患者结果为优或良；仅1例患者结果为可。
微创经皮钢板固定在治疗胫骨近端骨折方面可取得良好效果。
