Lai Ted C, Fleming Justin J
Foot and Ankle Surgery, Shore Orthopaedic University Associates, 24 MacArthur Boulevard, Somers Point, NJ 08244, USA.
University Orthopaedic Associates, 2 World's Fair Drive, Somerset, NJ 08873, USA.
Clin Podiatr Med Surg. 2018 Apr;35(2):223-232. doi: 10.1016/j.cpm.2017.12.005. Epub 2018 Feb 1.
Surgical treatment of distal tibia fractures can present as a difficult task. Intramedullary nailing (IMN), external fixation, and open reduction internal fixation (ORIF) have displayed various complications ranging from a high rate of knee morbidity with IMN to wound complications and infection with ORIF. Minimally invasive plate osteosynthesis (MIPO) has been used to decrease development of these complications. MIPO respects the soft tissue envelope along with maintaining the biological environment needed for proper osseous healing. Favorable results have been shown with MIPO in regard to function, healing time, and decreased complications.
胫骨远端骨折的手术治疗可能是一项艰巨的任务。髓内钉固定（IMN）、外固定和切开复位内固定（ORIF）都出现了各种并发症，从IMN导致的高膝关节发病率到ORIF引起的伤口并发症和感染。微创钢板接骨术（MIPO）已被用于减少这些并发症的发生。MIPO在尊重软组织包膜的同时，维持了骨愈合所需的生物环境。MIPO在功能、愈合时间和减少并发症方面已显示出良好的效果。
