有有两个优点:一是减少对骨折血供的进一步干扰;二是通过载荷分享避免因应力集中导致的内固定断裂。而用MIPPO技术使用较长的LCP,手术创伤不会明显加重;此外,LCP螺钉直径较粗大,螺纹较浅,可承受较重的负荷而不容易断钉。【参考文献】1KrettekC,SchandelmaierP,MiclauT,etal<Minimallyinvasivepercutaneousplateosteosynthesis(MIPPO)usingtheDCSinproximalanddistalfemoralfractures・Injury,1997,28(1Suppl):20-30.WendaK,RunkelM,DegreifJ,etal.Minimallyinvasiveplatefixationinfemoralshaftfractures・LnjuTy,1997,28(1Suppl):13-19.JohnerR,Wruhhs0.Classificationoftibialshaftfracturesandcorrelationwithresultsafterrigidinternalfixation.ClinOrthop,1983,178:7-25.BaumaertelF,Gotzen1.The“biological”plateosteosynthesisinmulti-fragmentfractureofthePara-articularfemur・Aprospectivestudy.Unfallchirurg,1994,97(2):78-84.HelfetDL,SukM.Minimallyinvasivepercutaneousplateosteosynthesisoffracturesofthedistaltibia・InstTCourseLeet,2004,53:471-475.
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