小切口复位外固定支架固定间断加压治疗胫骨中下段骨折

Small Incision Reduction and External Fixation Combined with Discontinuous Stress Compression for the Treatment of Distal Tibia Fractures

[目的]探讨小切口复位结合外固定支架固定间断加压治疗胫骨中下段骨折的临床疗效.[方法]2004年7月至2009年7月,采用外固定支架固定治疗胫骨中下段骨折患者56例,男39例,女17例,年龄平均36（6～70）岁.术后对骨折间断加压并早期功能锻炼,X线检查明确骨折愈合后拆除外固定架.[结果]随访时间平均9（6～12）个月,按骨折临床愈合标准,骨折均愈合,平均愈合时间4（2～8）个月.术后膝、踝关节活动良好.[结论]小切口复位结合外固定支固定间断加压治疗胫骨中下段骨折创伤小,疗效满意,膝、踝关节功能恢复佳.

[Objective]To explore the clinical effect of small incision reduction and external fixation combined with discontinuous stress compression for the treatment of distal tibia fractures. [Methods]A total of 56 cases of lower tibia fractures were fixed by external fixators through a small incision combined with discontinuous stress compression in our hospital from the July 2004 to the July 2009. The ratio of male to female patients was 39：17, and the mean age of the patients was 36 years（6~70 years old）. Postoperatively, the fractures were stressed discontinuously and given functional training. When X-ray radiographs showed the union of fractures, the external fixators were removed. [Results]The average follow-up was 9 months（6~12 months）. All of the patients obtained fracture union defined by clinical criteria in 2 to 8 months（averaged 4 months）. Activi ties of knees and ankles were unaffected. [Conclusion]Reduction through a small incision combined with external fixation and discontinuous stress compression for the treatment of lower tibia fractures is minimally invasive and has satisfactory effect with a good functional recovery of knees and ankles.