尽早切开解剖板内固定治疗胫腓骨中上段闭合粉碎性骨折

Treatment of Tibial and Fibular Comminution Fracture near the Knee with Anatomical Plate as early as possible

目的：探讨伤后尽早切开复位解剖形接骨板内固定治疗胫腓骨中上段闭合性、严重粉碎性骨折的可行性及价值。方法：尽早期切开复位、使用解剖形接骨板内固定治疗15例胫腓骨中上段闭合严重粉碎性骨折，对治疗结果评价。结果：所有病例均获随访，随访时间6个月～3年的。平均为18个月，肢体无明显短缩、感染、筋膜间隙综合征等并发症发生，骨折全部愈合，患肢功能满意，优良率近100％。结论：解剖形接骨板是治疗腓腓骨中上段粉碎性骨折的有效方法，尽早期切开复位内固定手术是可行的，明显减少筋膜间隙综合征等并发症的发生，恢复了膝关节的功能。

Objective： To discuss the feasibility and value of the treatment for tibial and fibular comminution fracture near the knee with anatomical plate. Methods： 15 cases tibial and fibular fracture was treated with anatomical plate as early as possible. To analysis the outcome. Results： All cases were followed up. ranged from 6 months to 3 years, with average of 18 months. Complete union was found in all cases without complications such as extremity-short or infection or compartment syndrome. Conelusion- The curative outcome of tibial and fibular comminution fracture near the knee treated with anatomical plate is affirm. It is feasible to make the operation as early as possible. The measure can possibly prevent complications such as compartment syndrome and so on, and recover the function of knee.