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目的观察微创经皮接骨板(MIPPO)结合LCP内固定治疗老年胫骨近段骨折的疗效。方法对37例老年胫骨近段骨折采用MIPPO技术结合LCP进行内固定治疗，其中男22例，女15例，年龄60岁-87岁，平均69岁；按AO∕OTA分型：A型9例，B型21例，C型7例。结果37例均获得随访，随访时间6-24个月，平均13个月。结果骨折愈合时间平均3.5个月，未出现皮肤坏死、感染、骨折不愈合。按Johner-Wruhs评价标准⑴：优20例，良13例，可4例，优良率89%。结论在老年胫骨近段骨折的治疗方法中，MIPPO技术能明显提高膝关节的康复，减少并发症。“,” objective: To observe effect of the MIPPO technology combined with locking compression plate( LCP) internal fixation in treatment of proximal fracture of the tibia in the elderly. Method: 37 cases of proximal tibial fractures in the elderly using MIPPO technique combined with LCP internal fixation, male 22 cases, female 15 cases; 60-87 years of age, 69 years on average; by AO/ OTA type: A-9, B-21, C-7. Results: 37 patients are given fol ow-up, fol ow-up 6-24 months, an average of 13 months. Results:Fracture healing in an average 3.5 months,no skin necrosis, infection, nonunion occurred. Acording to Johner-Wruhs evaluation criteria: excel ent in 20 cases, good in 13 cases,acceptable in 4 cases, satisfactory rate at 89 %. conclusion: in treatment of proximal fracture of the tibia in the elderly, MIPPO technique can substantially increase the knee rehabilitation and reduce complications.