Manipulative reduction with minimally invasive percutaneous plate osteosynthesis for 60 patients with distal tibiofibular fractures
10.3969/j.issn.1003-0034.2014.06.012
- VernacularTitle:手法复位经皮微创锁定钢板固定治疗胫腓骨远端骨折60例
- Author:
Chuan Bo HAO
1
;
Bo Ke XIE
;
Xiao Lin XIONG
;
Lei ZHANG
;
Song Jun ZHANG
;
Jie ZHANG
;
Bing Yi ZHENG
;
Qiang Li ZHANG
;
Ren Shu BAO
Author Information
1. 北京丰盛中医骨伤专科医院脊柱关节科
- Keywords:
Tibia;
Fibula;
Fractures;
Manipulation,orthopedic;
Surgical procedures,minimally invasive;
Frac-ture fixation,internal
- From:
China Journal of Orthopaedics and Traumatology
2014;(6):491-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore clinical effects of manipulative reduction with minimally invasive percutaneous plate osteosynthesis in treating distal tibiofibular fractures. Methods:From 2009 to 2011,60 patients with distal tibiofibular frac-tures were treated by manipulative reduction with minimally invasive percutaneous plate osteosynthesis. Among them ,there were 32 males and 28 females aged from 14 to 70 years old with an average of 41.22±2.06. According to AO classification of fractures,5 cases were type A1,22 cases were type A2,21 cases were type A3 and 12 cases were type C1. Operation time, blood loss,time of callus and fracture healing were observed,Mazur scoring of ankle joint were used to evaluate therapeutic. Results:Fifty eight incisions were healed at stageⅠ,and 2 cases were infected at distal tibial. Operation time was with an av-erage of (62.34±5.66) min ranged 45 to 90 min;blood loss was 30 to 150 ml with an average of (80.57±5.59) ml;formation of callus appeared from 4 to 12 weeks,with an average of (8.24 ± 2.06) weeks,and fracture healing time was from 3 to 6 months, with an average of (4.50±1.13) months. According to Mazur scoring of ankle joint,40 cases got excellent results,18 good,and 2 fair. Conclusion:Manipulative reduction with minimally invasive percutaneous plate osteosynthesis can obtain reliable fixa-tion. It is a good choice of treating distal tibiofibular fractures by protecting blood supply of fractures.
