有限切开复位单臂外固定架治疗不稳定胫骨骨折

Limited cut reduction unilateral comlined with internal fixation in the treatment of unsteady tibial fracture

目的:介绍切开复位单臂外固定架(以下简称单臂架)治疗不稳定胫骨骨折体会。方法:小切口复位不稳定胫骨骨折,单臂架固定,必要时加用螺丝钉、钢丝有限内固定。结果:27例患者经治疗后,1例带架回家未按要求紧固定螺钉而出现骨折再移位,单臂架固定钉松动3例,固定钉孔感染3例,骨折延迟愈合1例。结论:切开复位单臂架固定是治疗不稳定性胫骨骨折的一种良好方法,必要时加用螺钉、钢丝有限内固定可提高固定效果,但也存在单臂架固定钉松动、针道感染的不足。

Objective：To introduce the experience of cut reduction in treating unsteady fibial fracture of unilateral axial combined in temal fixator （short for unilateral axial） .Methods：All the cases are treated with minimsl incision cut reduction with unsteady tibial fracture,use unilateral axial to fix,and you have to add screws and sted wire limited internal fixation when necessary Results： After treatment 27 cases went home,1 case with axial whose fracture remorcd because the case did not nail another 3 case with loose unilateral axial and still another 3 cases with infection in the hola of the fixstor, and the last case is the delay of heal. Conclusion; treatment of unsteady tibial fracture limited cut reduction unilateral combined with internal fixation is an effective method,using nail and steel wire when necessary to fix internally limitedly can benefit the case, but the disaduayes are the loose of unilateral axial and the infection of the needle eye.