可吸收螺钉结合外固定架治疗复杂性胫腓骨骨折

ABSORBABLE SCREWS WITH EXTERNAL TRESTLE FIXATION IN TREATING COMPLICATED FRACTURE OF TIBIA AND FIBULA

目的介绍一种适合复杂性胫腓骨骨折的治疗方法。方法本组54例开放性和(或)粉碎性胫腓骨骨折的病例,采用可吸收螺钉加外固定支架固定的方法治疗,同时常规行植骨术。结果 44例(81.5%)达到解剖复位,其余达到功能复位,骨折全部愈合,临床愈合时间4～14个月,平均6.5个月。随访10～24个月,平均13个月。按Johner-Wruhs评分标准,优51例,良3例。结论该方法创伤小,固定可靠,安全经济,值得推广应用。

Objective To introduce a technique for treating the complicated fracture of tibia and fibula. Methods Fifty - four cases of opened and/or comminuted fracture of tibia and fibula were treated by internal absorbable screws fixation with external skeletal trestle fixation, at the same time underwent the conventional bone graft. Results There were 44 cases （ 81. 5% ） having anatomic reduction, and the others having approximately anatomic reduction,All the bone fracture healed good, the clinical healing time of bone fracture was 4 - 14 months（average time of 6.5 months）. Fifty - four cases were followed - up for 10 - 24 months （ average time of 13 months）. Accerding to Johner - Wruhs standard,51 cases were excellent,3 cases were good. Conclusion The method has many advantages such as mininal damage , reliable effect, safety and low cost , and it is worth promoting the application.