同侧下肢体多发性骨折的治疗体会

Treatment Experience of the Sameside Lower Limb Multiple Fractures

目的：回顾性分析复杂的同侧下肢体多发性骨折的治疗方法及疗效。方法：自1996年7月至2005年10月治疗同侧下肢体多发性骨折21例。其中男13例，女8例，平均年龄40岁（18—63），右侧11例，左侧10例，共发生骨折68处，均接受手术治疗。结果：平均随访时间为12个月（3～26个月），愈合率100％，平均愈合时间为4个月（3—9个月），手术后3例出现患肢体较健侧长1～2cm，4例出现膝关节强直，l例踝关节背屈受限，5处伤口延迟愈合。结论：同侧肢体多发性骨折的治疗通过手术坚强的内固定，在骨折愈合率、功能恢复情况、早期功能活动方面较满意，是治疗同侧下肢体多发性骨折的有效方法。

Objective： To analyse the effective treatment of lower limb multiple fractures with operation. Method： 21 cases patients of the same side lower limb multiple fractures were treated, since Jul. 1996 to Oct. 2005 ,men 13 ,women 8, mean ages is 40（ range 18 - 63）, right side 11, left 10 , the total fractures were 68, all with operation. Result： The mean followed - up term was 12 months （ range 3 - 26 months ）, all fractures were completely healed, the mean term is 4 months （range 3 -26 ）. After operation,3 cases the wound limbs were longer 1 - 2 cm than health limbs, 4 cases knee were still, 1 case ankle move disable ,5 cases wounds delay to heal. Conclusion： The effective treatment of the same side lower limb multiple fractures was operation with stronge inner fixation, it was good for fracture healing , rehabilitating function and movement early.