| Objective:Through our for nearly 3 years lower tibial fractures of the cases 1/3, summarizes the research data were analyzed by MIPPO technology with the LCP steel treatment tibial fractures of the lower 1/3 treatment experience. Methods:This study from shandong university of Chinese medicine cases affiliated hospitals orthopedic ward July 2003 to 2009 September 26 cases of tibial were lower 1/3 fracture patients, male 16 example,10 female patients. Average age 37 (18 to 56 years old). The traffic accident injury (19 cases), falling injury hit in 2 cases, clog 5 cases. Press AO tibial fractures 19 cases the type B differentiations, C1 type in 5 cases, C2 type in 2 cases. Among them open fractures (Gustilo points type):type I (3 cases), II type 1 patients. According to the open fractures and AO soft tissue injury classification operation time decision. For the closing of the soft tissue swelling not heavy fractures and can aoid surgery in patients with fracture of the open wounds,8 h in surgery. All soft tissue damage serious closed fractures and cannot tolerate surgery patients were open fractures to raise calcaneal traction, phantom limbs and the injury of soft tissue 3 to 12 d, no swelling infection, followed surgery. Postoperative patients with the guidance system of rehabilitation training and take the necessary measures to prevent the occurrence of complications.1 year after the follow-up to the Johner and, using Wruh tibial fracture end result evaluation standard dry and peer observation curative effect. Results:26 patients, optimal 19 cases "good" in 5 cases, but in 2 cases, for example, poor 0 dykes 92.3 percent. Conclusion:MIPPO technology with the LCP steel treatment tibial fractures have lower 1/3 to levy wide and internal fixation is strong and reliable, early functional exercise, can the function recovery after tibial fractures such advantages as good, and the results were satisfactory. |
PDF Full Text Request