The Clinical Efficacy Analysis Of Combination LCP And MIPPO Surgical Treatment For Distal Tibial Fracture

Objective: To research surgical treatment for distal tibial fracture, improve the curerate.Methods: Form March2010to April2011,45cases of distal tibial fractures weretreated with locking compression plate (LCP) combined with MIPPO.21patients were atleft knees,23were at right knees,1were at bilateral knees,30concomitant fibula fractures.There were26cases male and19cases female aging from20to68(mean38.2).Preoperative evaluation of soft tissue clears the timing of surgery; in surgery, we shouldpay attention to the protection of the soft tissue, the reasonable choice of fixation and itsfixed way; after surgery, we should guide patients to do limb function and rehabilitationexercise to reduce the incidence of complications. These patients were followed up from12months to14years with an average time12.5months. X-ray re-inspected regularly,observed the stations of tibial fracture healing, and checked the postoperativecomplications and the activities of ankle function.Results: All fracture reached bone healing. Press: to Johner-Wruhs joint functionassessment standards:45cases were followed up,12weeks postoperation excellent in23,good in12, fair in7and poor in3, and77.78%excellent or good results were obtained; oneyear postoperation excellent in26, good in14, fair in5, and poor in0.89.58%excellent orgood results were obtained.Conclusion：Use of locking compression plate (LCP) combined with MIPPOtechnique in the treatment of distal Tibial fracture can have reliable and stable fixation andexcellent clinical effect. Early reasonable function exercise can reduce the incidence ofpostoperative complications.