外固定架一期固定后二期锁定钢板内固定治疗胫腓骨开放性骨折

External fixation followed by locking plate internal fixation to treat tibia and fibula open fractures

目的评价应用外固定架固定后二期锁定钢板内固定治疗胫腓骨开放性骨折的疗效。方法对118例胫腓骨开放骨折患者行外固定架固定后二期锁定钢板内固定治疗。结果 118例均获随访,时间12～24个月。除1例因钢板移位影响骨折愈合外,其余患者骨折均愈合,时间3.1～5.2个月,骨折愈合率为99.2%;并发症发生率4.2%。按照Enneking评分系统评估疗效:优96例,良11例,可7例,优良率为90.7%。膝关节活动度:伸0°,屈135°,踝关节活动度:背伸30°,跖屈40°。结论外固定架固定后二期锁定钢板内固定治疗胫腓骨开放骨折操作简便,固定牢靠,骨折愈合快,并发症少,临床疗效满意。

Objective To study the curative effect of treatment of tibia and fibula open fractures with external fixation followed by locking plate internal fixation in Phase Ⅱ.Methods 118 patients with tibia and fibula open fractures were treated with external fixation followed by locking plate internal fixation.The healing of fracture was observed.Results All 118 cases were followed up for 12～24 months.The time of fracture healing was 3.1～5.2 months.The complication rate was 4.2%,fracture healing rate was 99.2%.According to Enneking function assessment system,the curative effect was excellent in 96 patients,good in 11,fair in 7 and poor in 4,and the excellent and good rate was 90.7%.The joint range of knee motion was 0 degrees for extension and 135 degrees for flexion.Moreover,joint range of extend motion was 30 degrees for extension and 40 degrees for flexion.Conclusions It is an effective way to treat tibia and fibula open fractures with external fixation combined with locking plate internal fixation in Phase Ⅱ,which has advantages of simple operation,reliable fixation,low infection rate,fast fracture healing,and less complications.