胫腓骨多段粉碎性骨折的治疗

Treament of Multiple Comminuted Fractures of Tibia and Fibula

18 patients with multiple comminuted fractures of tibia and fibula had been treated from 1993 to 1995. In this paper,the clinical features and therapeutic methods of this kind of fracture were discussed- It was believed that the combination of internal fixation of fibula fracture with Kirschner’s pins.internal fixation of tibial fracture with multiple common steel plates and screws,and external fixation with plaster is an effective method. Its advantages are: ① The operative procedures are simple and easy; ②The common plates are small,can be placed in suitable positions according to the condition of iniury,and are advantageous to the healing of the wound at the shank; ③The reduction of fractures is good. Its disadvantage is the external fixation with plaster is needed yet. In this group,the good bony union was found in 17 cases and the refracture was happened only in one case due to injiury from falling after removing external fixation. So the therapeutic effect is satisfactory.