加压外固定在胫腓骨开放骨折感染中的应用

External Skeletal Fixation for the Prevention and Treatment of Infection in Open Tibial Fractures

:1992年～ 1998年 ,应用半环槽式外固定器治疗 31例胫腓骨开放性骨折 ,其中 19例早期行半环槽式外固定 ,12例因早期内固定失败造成骨感染及感染性骨不连 ,二期行半环槽式外固定器固定 ,使创面及骨感染得到控制。骨愈合时间 2～ 8个月。且对半环槽式外固定器在早晚期感染的预防及控制中的作用进行回顾性研究 ,结果显示 :半环槽式外固定器能给骨折端提供牢稳固定 ,且钢针远离骨折端及感染病灶 ,对骨折端血运干扰小 ,有利于创面处理。

From 1992～1998,41 cases of open tibial fracture were treated with external skeletal fixation.19 cases were treated with external skeletal fixation in first.12 cases of infected and infected with external skeletal fixation in secnd.The union and eradication of infection were achieved within 2～8 months eventually.The external skeletal fixation provids the stable fixation,Iow interfence in treating and steel pin from away the part of fracture end and infection.and then it’s important for prevention and treatment of infection.