外固定架结合有限内固定治疗胫腓骨粉碎骨折

目的:探讨外固定架结合有限内固定治疗胫腓骨粉碎骨折的疗效。方法:以原创口为中心进行有限延长或另作小切口,显露骨折处,尽量达到解剖复位。用螺钉及克氏针将复杂骨折变为简单骨折,牵引复位,保持复位情况下,做胫骨前内侧切口,行单侧多功能外固定支架固定。结果:术后均迭解剖复位,骨折愈合时间为17～24周,平均21周。18～27周解除外固定支架,平均24周。结论:外固定架结合有限内固定治疗胫骨粉碎骨折,可以获得较好的骨折端复位,为治疗胫骨粉碎骨折的较好方法。

Objective：To explore the external fixator combined with limited internal fixation for eomminuted fracture of tibia and fibula of the efficacy. Methods ： Original population centers to do a limited extension of one or another small incision, revealed fractures, the best to achieve anatomic reduction, With screw-type needle and the grams of eomplex fractures into simple fractures, traction, and maintain reduction of the circumstances, to do before the medial tibial incision,the unilateral external fixator multi - function fixed. Results ： After the operation were achieved anatomical reduction, fracture healing time is 17 - 24 weeks,an average of 21 weeks, 18 -27 weeks to lift external fixator ,with an average 24 weeks. Conclusions： External fixator combined with limited interhal fixation for comminuted fracture of tibia and fibula, can be better fracture reduction, for the treatment of comminuted fracture of tibia and fibula better way.