目的 观察微创技术结合锁定钢板内固定(minimally invasive percutaneous plate osteosynthesis, MIPPO)治疗胫骨多段骨折的疗效。方法 采用间接复位和MIPPO技术治疗胫骨多段骨折57例,并按照Johner-Wruhs方法评价术后疗效。结果 随访1～3年,骨折全部骨性愈合,愈合时间4.3～7.8个月,平均(5.1±1.8)个月。手术时间65~135 min,平均(84.7±16.8) min。术后疗效,优39例,良14例,中4例,优良率为93.0%。结论 MIPPO技术治疗胫骨多段骨折,创伤小,并发症少,能促进骨折愈合,功能恢复满意。

Objective To study the curative effect of minimally invasive percutaneous plate osteosynthesis (MIPPO) treatment of multi-fragment fracture of tibia. Methods 57 patients with tibia multi-fragment fracture were treated by indirect reduction and MIPPO. Results Followed-up period ranged from 12-36 month (21.6 month in average) in 57 patients. All the patient had union. The mean time of the bony union was 4.3-7.8 months, mean(5.1?1.8)months. The operation time was 65-135 min, average (84.7?16.8) min. The patients were evaluated in regard to function with use of Johner-Wruhs system. 39 patients had excellent results, and 14 patients good, and 4 patients fair. The satisfactory rate was 93.0%. Conclusions MIPPO is a safe and effective method for treatment of multi-fragment fracture of tibia.