分期手术治疗伴有严重小腿挤压伤的胫腓骨开放性骨折分析

目的探讨对于有严重皮肤软组织损伤的胫腓骨开放性骨折分期手术治疗。方法回顾分析自2013年9月至2015年3月．采用分期手术治疗伴有严重小腿挤压伤的胫腓骨开放性骨折25例资料。结果本组患者住院56-140d，25例惠肢创口均愈合，创面愈合平坦，功能恢复良好．随访9-12个月。结论分期手术治疗有严重皮肤软组织损伤的胫腓骨开放性骨折，早期采取简单、快速外固定支架固定，Ⅱ期在肉芽组织生长满意后行植皮或皮瓣移植术，Ⅲ期选用微创钢板、髓内钉内固定并予以植骨处理，取得满意结果。

To investigate the staged surgical treatment of open tibiofibular fractures with severe skin and soft tissue injuries.Methods From September 2013 to March 2015, a retrospective analysis were performed by staging of 25 cases oftibiofibular open fractures with severe calf crush injuries.Results The patients were hospitalized for 56-140 days. All 25 patients had healed. The wound healing was flat and the function recovered well. 25 patients were followed up from 9 to 12 months. Conclusion Staging surgery for open tibiofibular fractures with serious skin and soft tissue injuries should perform in early stage with simple and rapid external fixation. In the second stage, skin grafts or flap grafts can peffoml after the growth of granulation tissue is satisfactory. In IIl stage, minimally invasive phte and intrarnedulhry nail can be used for internal fixation and bone grafting, and satisfactory results will be obtained