胫骨远端粉碎性骨折的手术治疗

Surgical treatment of splintered distal tibial factures

目的:探讨胫骨远端粉碎性骨折临床治疗效果.方法:对 38例胫骨远端骨折,依据分型,分别用外固定支架及内固定治疗.结果:随访 6～ 13个月,根据 Olerud评定标准:优 20例,良 14例,差 4例.优良率 89.47% (34/38).结论:无论是外固定支架或内固定治疗,均可使骨折端良好复位,固定可靠,可早期下床功能锻炼.

Objective： To explore the clinical effects of surgical procedures for splintered distal tibial factures.Methods： 38 cases of splintered distal tibial factures were treated with either internal or external fixation according to Ruedi - Allgower＇s classification. Results： The followup of 6 to 13 months showed there were 20 excellent cases, 14 fine cases and 4 poor cases by Olerud＇s criteria. The good and excellent rate was 89.47% （34/38）. Conclusion： Anatomic reduction and rigid fixation can be obtained with either internal or external fixation in treatment of distal tibial factures. The patients can also undergo out - of- bed functional exercises at an early stage.