骨折复位固定器配合小夹板治疗胫腓骨不稳定性骨折

THE TREATMENT OF UNSTABLE TIBIOFIBULAR FRACTURE BY REDUCTOR FIXATOR AND SPLINTS

采用骨折复位固定器（孟和氏架）牵引加压，配合小夹板治疗不稳定性胫腓骨骨折３６例，其中开放骨折５例，随访时间为８～２５个月，平均为１５个月，骨折平均１８周愈合，膝、踝关节功能良好，针道感染率５．６％，无小夹板并发症。认为骨折复位固定器与小夹板配合使用，前者通过牵引纠正骨折的短缩移位，也可以通过对骨折断端加压，产生应力刺激，促进骨折愈合；后者则可控制骨折的侧方移位。两者配合使用可扬长避短，是一种简便。

Thirty six cases of unstable tibiofibular fracture were treated by reductor fixator (Menghes fixator) and splints. Of all cases, 5 were open. The follow up ranged 8-25 months, averaged 15 months and showed an average fracture healing time of 18 weeks, good recovery of knee and ankle function, sty infection rate of 5.6 % but no splint complications. It was considered that in combination and application of the reductor fixator and splints, the former could correct the shortening and displacement of the fragments through traction and accelerate fracture healing through the stress stimulus from its compressing the fragments; and the latter could control the lateral displacement of the fracture. The combination and application of both could develop the advantage and overcome the shortcoming. So it may be regarded as an effective and simple treatment method for tibiofibular fracture.