外固定器超关节固定治疗膝、踝关节的毁损性骨折

Treatment on comminuted fracture of knee and ankle joint by hyperarticular fixation of external fixation device

目的:探讨毁损性骨折的早期临床处理办法。方法:15例均采用超关节外固定器固定治疗,共12膝,7踝。结果:12例愈合良好,3￣6个月去除外固定器行关节功能训练,1年后其中6例行膝关节置换,2例膝关节融合,4例踝关节融合,1例愈合后转上级医院治疗(1膝,1踝);3例创口感染,1例经皮瓣转移置管灌洗治疗愈合膝、踝均强直,拒绝治疗,另2例转上级医院(2膝,1踝)。结论:外固定器超关节固定治疗膝、踝关节的毁损性骨折是一种简单有效的办法。

Objective To evaluate the early clinical treatment of the comminuted fracture. Method 15 cases were all treated with hyperardcular fixation of external fixation device and 12 cases in knees and 7 in ankles. Results 12 cases healed well and they had articular function exercises without the help of the external flxadon device 3～6 months later. One year later, 6 cases had replacement of the knees, 2 cases the knees coalesced, 4 cases the ankles coalesced and 1 case went to the super hospital after concrescence（1 knee, 1 ankle）. 3 cases of tresis vulnus infection. Among the three cases, 1 had agglutination after the treatment of the percutaneous transplantation and the luminal clysis. The padents then refused the treatment because of the ankylosis of the knee and the ankle. Another 2 cases went to the superhospital （2 knees, 1 ankle）. Conclusion The hyperarticular fixadon of the external fixation device is an easy and effecdve method to treat the comminuted fracture of the knee and the ankle.