碳素棒组合外固定支架与钢板内固定治疗胫腓骨开放骨折疗效观察

The clinical observation of carbon rod combined external fixation and plate fixation for the treatment of open tibia and fibula fracture

目的比较碳素棒组合外固定支架固定与钢板内固定治疗开放胫腓骨骨折的疗效。方法 98例胫腓骨开放骨折患者中,48例采用碳素棒组合外固定支架治疗(治疗组),50例采用钢板内固定治疗(对照组),比较两组临床效果。结果 98例均获随访,时间8～20个月。疗效按Johner-Wruh评定标准进行评定:治疗组优38例,良7例,差3例,优良率为93.75%;对照组优36例,良4例,差10例,优良率为80.00%;两组比较差异有统计学意义(P<0.05)。治疗组愈合时间、深度感染及伤口延迟愈合情况明显少于对照组,差异有统计学意义(P<0.05)。结论碳素棒组合外固定支架方法治疗开放胫腓骨骨折操作简单,深度感染率低及延迟愈合率低,康复快,疗效较钢板内固定好。

Objective To compare the effect of carbon rod combined external fixation and plate fixation for the treatment of open tibia and fibula fracture. Methods Among the 98 cases of open tibia and fibula fractures, 48 cases were treated with carbon rod combined external fixation （the treatment group）. And the other 50 cases were treated with plate internal fixation （the control group）. The clinical effects were compared between two groups. Results All 98 cases were followed up for 8 - 20 months. The clinical effect were judged by Johner-Wruh scoring criterion, in the treatment group, 38 cases had excellent effect, 7 good, and 3 poor, the excellent and good rate was 93.75% ; in the control group, 36 cases had excellent effect, 4 good, and 10 poor, the excellent and good rate was 80. 00%. There was significant statistical difference between the two groups （ P 〈 0. 05 ）. Conclusions The carbon rob combined external fixation treatment for open tibia and fibula fracture has simple operation, short hospital stay, low deep infection rate and delayed healing rate, and rapid recovery. It has better clinical effect than plate internal fixation treatment.