浅析胫骨开放性骨折患者采用骨外固定加压治疗的效果

Analysis of the Effect of the Treatment of Open Tibial Fracture With External Fixation

目的针对胫骨开放性骨折患者采用骨外固定加压方法进行临床治疗的效果进行初步探讨。方法收集40例胫骨开放性骨折患者有关资料,患者采用骨外固定加压方法进行治疗。彻底对患者伤口进行清创后,骨外固定采用交叉穿针方法。可直接对复位后的稳定性骨折患者进行加压固定,骨端不稳定及骨块粉碎患者对其整复后采用螺钉进行固定,骨膜不进行剥离,骨折端和骨块分离后互相靠拢使患者骨折端提高稳定性。缺损小腿中上段软组织患者采用转位修复腓肠肌内侧头或腓肠肌肌皮瓣方法,应用邻近筋膜皮瓣对中下段软组织进行覆盖。结果 40例患者中有35例伤口达到一期愈合,骨折平均愈合时间(2.5±0.5)个月,骨折患者愈合率高达87.5%。结论胫骨开放性骨折患者采用骨外固定加压方法进行治疗是一种比较理想的方法,该方法操作便捷,可明确进行固定,对骨生长环境不具有较大影响,对于骨折愈合十分有利,钢针距离骨折端较远,不会对骨端血循环产生较大的干扰。

Objective To investigate the clinical effect of the treatment of open tibial fracture with external fixation. Methods 40 patients with open fracture of tibia were collected. The patients were treated with external fixation and compression method. For patients with thorough wound debridement, internal fixation with bone cross method. Direct stability after reduction of the fracture patients were pressurized fixation, bone end instability and bone block patient can be broken down into the reduction by screws are fixed, the perioste（2.5）um without stripping, fracture and bone mass after separation come close to each other so that patients with fracture in order to improve the stability. Reconstruction of the medial head of the gastrocnemius muscle and the flap of the upper and lower segment of the soft tissue of the upper and lower leg of the defect, the adjacent fascia flap was used to cover the soft tissue of the middle and lower segment. Results In 40 cases, 35 cases had wound healing, the average healing time was（2.5 ± 0.5） months, and the healing rate was 87.5%. Conclusion Open tibial fracture patients with bone compressive external fixation treatment is an ideal method. The method is easy to operate, can be clearly fixed, on bone growth environment has greater impact, for fracture healing is very favorable, the needle distance fracture far end, not on bone end blood circulation produced larger disturbances.