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采用撑开支撑的间接复位技术在胫骨干骨折微创经皮钢板接骨术中的应用

Indirect reduction technique using a distraction support in minimally invasive percutaneous plate osteosynthesis of tibial shaft fractures.

作者信息

Dong Wen-Wei, Shi Zeng-Yuan, Liu Zheng-Xin, Mao Hai-Jiao

机构信息

Department of Trauma Orthopaedics, Affiliated Hospital Medical School of Ningbo University Zhejiang, Ningbo 315020, China.

出版信息

Chin J Traumatol. 2016 Dec 1;19(6):348-352. doi: 10.1016/j.cjtee.2016.09.001.

DOI:10.1016/j.cjtee.2016.09.001
PMID:28088940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5198924/
Abstract

PURPOSE

To describe an indirect reduction technique during minimally invasive percutaneous plate osteosynthesis (MIPPO) of tibial shaft fractures with the use of a distraction support.

METHODS

Between March 2011 and October 2014, 52 patients with a mean age of 48 years (16-72 years) sustaining tibial shaft fractures were included. All the patients underwent MIPPO for the fractures using a distraction support prior to insertion of the plate. Fracture angular deformity was assessed by goni- ometer measurement on preoperative and postoperative images.

RESULTS

Preoperative radiographs revealed a mean of 7.6°(1.2°-28°) angulation in coronal plane and a mean of 6.8°(0.5°-19°) angulation in sagittal plane. Postoperative anteroposterior and lateral radio- graphs showed a mean of 0.8°(0°-4.0°) and 0.6°(0°-3.6°) of varus/valgus and apex anterior/posterior angulation, respectively. No intraoperative or postoperative complications were noted.

CONCLUSIONS

This study suggests that the distraction support during MIPPO of tibial shaft fractures is an effective and safe method with no associated complications.

摘要

目的

描述在使用撑开器辅助的微创经皮钢板接骨术（MIPPO）治疗胫骨干骨折时的间接复位技术。

方法

纳入2011年3月至2014年10月间52例平均年龄48岁（16 - 72岁）的胫骨干骨折患者。所有患者在置入钢板前使用撑开器辅助对骨折进行MIPPO治疗。通过术前和术后影像用测角仪测量骨折的成角畸形。

结果

术前X线片显示冠状面平均成角7.6°（1.2° - 28°），矢状面平均成角6.8°（0.5° - 19°）。术后前后位和侧位X线片显示内翻/外翻及顶点向前/向后成角分别平均为0.8°（0° - 4.0°）和0.6°（0° - 3.6°）。未观察到术中或术后并发症。

结论

本研究表明，在胫骨干骨折的MIPPO中使用撑开器辅助是一种有效且安全的方法，无相关并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/d97c219cecce/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/175a0132b261/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/b6e0c0b0abb6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/0ab71b2964dc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/30bcc40ba1e5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/d97c219cecce/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/175a0132b261/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/b6e0c0b0abb6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/0ab71b2964dc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/30bcc40ba1e5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b75b/5198924/d97c219cecce/gr5.jpg

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