胫腓骨骨折治疗方式的选择(附196例报告)

Choice of treating type for complicated tibia and fibula fracture

目的探讨胫腓骨骨折治疗过程中手术时机、方法及内固定物的选择。方法观察及分析196例胫腓骨骨折的手术治疗和非手术治疗的疗效。结果所有患者均得到随访,时间6~24个月,伤口愈合可,骨折无延迟愈合、畸形愈合。经临床随访显示手术治疗和非手术治疗的疗效在不同类型的胫腓骨中下段骨折治疗中均有自己的优缺点。结论治疗方式的选择,应根据骨折类型、恰当的手术时机、软组织损伤度、内固定的合理选择等因素综合考虑。

Objective To investigate the choice of the appropriate timing,methods and type of internal fixation of surgical operation in the treatment of the complicated tibia and fibula fractures.Methods Totally 196 cases were treated by operative or non-operative measures.The effects were followed-up by clinical observation after therapy.Results All the patients were followed up for 6～24 months.There were no wound problems or fractures nonunion or delayed union found.The effects indicate that both operative and non-operative treatment for the complicated tibia and fibula fracture showed own andvantage and defect.Conclusions The choice of treatment type must be make according to many factors,for example,the type of fracture,the proper choices of timing methods,the injury state of soft tissue,type of internal fixation of surgical intervention,and so on.