骨水泥体外支架治疗儿童胫腓骨开放性骨折

The Treatment of The Fibula And Tibia Opening Fracture In Teenage With Bone-cement External Fixator

目的 介绍 92年以来采用自制骨水泥体外支架治疗儿童胫腓骨开放性骨折的经验。方法 本组 89例开放性骨折的患儿 ,入院后行伤口清创骨水泥外支架固定胫骨骨折 ,采用双臂式体外支架 72例 ,单臂式体外支架 17例 ,手术力求简单可靠 ,注意保护和修复局部损伤软组织和尽量不干扰骨折端血循环。结果 89例患者经 4个月至 8年随访 ,88例骨折愈合满意 ,仅 1例发生延迟愈合。关节活动功能恢复良好 ,无发生再骨折或骨骺早闭等。结论 该外固定支架材料简单 ,操作方便 ,可随意选定穿针点 ,按需定形 ,有利于减轻局部软组织损伤 ,并使骨折端获得相对固定 ,给骨折愈合创造优化生物力学环境 。

Objectives: To introduce the effects of the treatment of the fibula and tibia opening fracture in teenage with bone-cement fixator.Methods Among 89 cases,72 cases were treated with double-armed external fixator,while 17 cases with single-armed external fixator.Results: 88 cases obtained satisfactory uion by following-up 4 months to 8 years,and one delayed uion.Conclusions:This method has obvious advantage:material easy to get,simple operation and minor injury of soft tissues.