外固定架治疗四肢骨干骨折的临床经验

Clinical Experience of Fractures of Extremities Treated with External Fixators

应用组合式外固定架治疗四肢骨折１１６ 例（ 开放性骨折占５５ ％ ） ，随访３ 个月至５ 年，骨折愈合率为９３ ％ 。提示：应用组合式外固定架治疗四肢骨折，尤其是伴严重软组织损伤的开放性、感染性骨折，有较好效果。具有固定确实、骨折愈合率高、能早期进行骨折周围关节的活动、操作简单、费用低等优点，尤其适用于基层医院。

One hundred and sixteen cases with fractures of extremities were treated with external fixation using modular external fixators . The rate of open fracture is 55%. The duration of follow up was from 3 months to 5 years. The rate of fracture healing was 93%. Modular external fixators provided good fixation for treating long bone shaft fractures of extremities, especially open or infected fractures with severe soft tissues injuries. With the advantages of secure fixation, high rate of fracture healing, allowing early mobilization at the joints around fracture site, being easy to operate and low cost, modular external fixators were especially suitable for county hospitals where the instruments and surgical technique were relatively undeveloped.