单臂外固定支架配合跟骨牵引治疗胫腓骨粉碎性骨折

Treatment of comminuted tibia and fibula fractures with one arm external fixator with skeletal traction of calcaneus

目的报告单臂外固定架配合跟骨牵引治疗胫腓骨粉碎性骨折的疗效。方法186例胫腓骨粉碎性骨折,其中开放骨折42例,闭合骨折142例,均采用单臂外固定架,配合跟骨牵引治疗。结果随访185例,183例骨愈合,平均愈合时间6个月,按Johner-Wrichs,优113例,良69例,差2例。针为17.5%。结论单臂外固定支架配合跟骨牵引治疗胫腓骨粉碎性骨折,方法,疗效肯定。

Object To report the one arm external fixator with skeletal traction of calcanus in treatment of comminuted fractures of tibia and fibula. Method 186 cases of fractures of tibia and fibula were treated by the one arm external fixator with skeletal traction of calcaneus. 42 cases were open fractures, and 142 cases were closed fractures.185 cases were followed up. Results 183 cases of fracture united, and the average healing time was 6 months. By Johner Wrichs score 113 were rated as excellent, 69 good, 2 poor. The infection rate was 17.5%. Conclusion It is convenient and effective to use one arm external fixator with skeletal traction of calcaneus to treat comminuted tibia and fibula fractures.