开放性胫腓骨骨折外固定支架术后的护理体会

Postoperative nursing experience of open tibia and fibula fractures treated with external fixators

目的探讨外固定支架治疗开放性胫腓骨骨折术后的护理方法。方法对54例采用外固定支架治疗的开放性胫腓骨骨折的患者的护理措施进行回顾性分析,以总结出开放性胫腓骨骨折经外固定支架治疗术后的护理体会。结果 54例患者均获得满意的随访,其中3例患者针道感染、固定针松动,后采用内固定处理,2例患者因外固定针松动出现骨折端移位,及时予以调整,2例患者随访1年后骨折端仍未愈合,行二期植骨内固定处理,其余患者于随访过程中影像学资料显示骨折端基本愈合后去除外固定支架。结论采用外固定支架治疗开放性胫腓骨骨折,术后完善的护理及正确及时的功能锻炼可以提高疗效,减少并发症。

Objective To explore postoperative nursing experience of open tibia and fibula fractures treated with external fixators. Methods The nursing methods of 54 patients with open tibia and fibula fractures treated with external fixators were retrospectively analyzed in order to gain nursing experience. Results All patients were followed up. Among them, three patients had pin- hole infection and pin loosing who were retreated with internal fixation. Two patients＇pins became loose and fractures were displaced, and they were retreated with realignment of the fixators in time. Another two patients＇ fractures were healed after one- year follow- up, and they were retreated with bone graft and internal fixation. Others fixators were removed when the images showed the fractures were healed. Conclusion Postoperative nursing, correct nursing and timely functional exercises can improve effectiveness and reduce complications when open tibia and fibula fractures are treated with external fixators.