Akra Gabriel A, Lazarides Stefanos, Nanu Ananda M
Orthopaedic Department, Sunderland Royal Hospital, Sunderland, UK.
Clin Med Insights Arthritis Musculoskelet Disord. 2017 Mar 30;10:1179544117701724. doi: 10.1177/1179544117701724. eCollection 2017.
Minimally invasive percutaneous plate osteosynthesis was developed on the concept that preservation of the soft tissue envelope during surgical management of distal tibial fractures is of paramount importance. We report on our early experience using this technique over a 1-year period with 14 such injuries that were treated by a locking compression plate via minimally invasive surgery. The surgical reduction was excellent in most of the cases and all fractures healed uneventfully. One superficial infection and a wound slough were the only complications recorded. The mean follow-up was at 15 months, and all patients were satisfied with a mean ankle-hindfoot score of 84. Early results of such management are very encouraging.
微创经皮钢板接骨术是基于这样一种理念发展而来的，即在胫骨远端骨折的手术治疗过程中，保留软组织包膜至关重要。我们报告了我们在1年时间内使用该技术的早期经验，14例此类损伤通过微创外科手术采用锁定加压钢板进行治疗。大多数病例手术复位效果极佳，所有骨折均顺利愈合。仅记录到1例表浅感染和1例伤口脱痂。平均随访时间为15个月，所有患者均感满意，踝关节-后足平均评分为84分。这种治疗方法的早期结果非常令人鼓舞。
