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胫骨远端骨折微创经皮钢板接骨术的钢板对钢板技术，一种简便且经济的骨折固定方法。

Plate on plate technique of minimally invasive percutaneous plate osteosynthesis in distal tibial fractures, an easy and inexpensive method of fracture fixation.

作者信息

Muzaffar Nasir, Bhat Rafiq, Yasin Mohammad

机构信息

Bone and Joint Surgery Hospital, Barzalla, Srinagar, Kashmir, India.

出版信息

Arch Trauma Res. 2014 Sep 2;3(3):e18325. doi: 10.5812/atr.18325. eCollection 2014 Sep.

DOI:10.5812/atr.18325
PMID:25599064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4276714/
Abstract

BACKGROUND

Plate on plate technique can lessen operative time and patient morbidity.

OBJECTIVES

This study aimed to evaluate the outcomes of minimally invasive percutaneous plate osteosynthesis (MIPPO) using plate on plate technique of locking plate fixation for closed fractures of distal tibia in a prospective study.

PATIENTS AND METHODS

Twenty-five patients with distal tibial fractures were treated by MIPPO using locking plate by plate on plate technique. Preoperative variables including age of patient, mode of trauma, type of fracture and soft tissue status were recorded for each patient. Perioperative variables included surgical time and radiation exposure. Postoperative variables included wound status, time to union, return to activity and the American orthopaedic foot and ankle score (AOFAS).

RESULTS

All the fractures had united at one year. The average time to union was 16.8 weeks. There were two cases of superficial infection and two cases of deep infection, which required removal of hardware after the fracture was united. The average AO foot and ankle score was 83.6 in our study population.

CONCLUSIONS

MIPPO using locking plate by plate on plate technique was a safe, effective, inexpensive and easily reproducible method for the treatment of distal tibial fractures in properly selected patients, which minimized operative time and soft tissue morbidity.

摘要

背景

钢板对钢板技术可缩短手术时间并降低患者发病率。

目的

本前瞻性研究旨在评估采用钢板对钢板技术进行锁定钢板固定的微创经皮钢板接骨术（MIPPO）治疗胫骨远端闭合性骨折的疗效。

患者与方法

25例胫骨远端骨折患者采用钢板对钢板技术通过锁定钢板进行MIPPO治疗。记录每位患者的术前变量，包括患者年龄、创伤方式、骨折类型和软组织状况。围手术期变量包括手术时间和辐射暴露。术后变量包括伤口状况、愈合时间、恢复活动情况以及美国矫形足踝协会评分（AOFAS）。

结果

所有骨折在1年时均已愈合。平均愈合时间为16.8周。有2例表浅感染和2例深部感染，骨折愈合后需取出内固定物。在我们的研究人群中，平均AOFAS评分为83.6。

结论

对于适当选择的患者，采用钢板对钢板技术的锁定钢板MIPPO是一种安全、有效、经济且易于重复的治疗胫骨远端骨折的方法，可将手术时间和软组织发病率降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/2e6a01a51236/atr-03-03-18325-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/8dc4515dd9b9/atr-03-03-18325-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/346f57af7635/atr-03-03-18325-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/8a79cbb7068e/atr-03-03-18325-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/70011ff3508c/atr-03-03-18325-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/d3031c21b1ec/atr-03-03-18325-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/64c3c4af074d/atr-03-03-18325-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/2e6a01a51236/atr-03-03-18325-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/8dc4515dd9b9/atr-03-03-18325-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/346f57af7635/atr-03-03-18325-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/8a79cbb7068e/atr-03-03-18325-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/70011ff3508c/atr-03-03-18325-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/d3031c21b1ec/atr-03-03-18325-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/64c3c4af074d/atr-03-03-18325-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967d/4276714/2e6a01a51236/atr-03-03-18325-g007.jpg

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