摘要
目的 探讨应用半环槽式外固定器结合有限内固定治疗复杂胫腓骨骨折的疗效。方法 应用拉力螺钉及钢丝对骨折区域内骨折块进行有限内固定 ,恢复骨折块正常解剖关系 ;经有限内固定后胫腓骨骨折区域用半环槽式外固定器固定 ,外固定范围不超出膝、踝关节 ,术后第 2天行主动膝、踝关节活动煅炼 ,术后 2~ 3周行走负重。结果 随访 12~ 18个月 ,骨折骨性愈合时间 2 0~ 2 4周 (平均 2 2周 ) ,无骨感染、骨外露、内固定物外露、肢体肿胀、关节僵硬。
Objective To observe the effect of using half ring slotted external fixator combind with limited internal fixation to treat complex tibial and fibular fracture. Methods Lag screw and wire were used limted internal fixation and reduction for tibial fracture, then half ring slotted external fixation was applied but not beyound knee and ankle joint. The patients was started on active rehabilitation of knee and ankle on the second day post operative, and weight bearing 2~3 weeks after operation. Results All cases were followed up for 12~18 months. The time of fracture union was 20~24 weeks (22 weeks on average). No case showed bone infection, bone and internal fixator revealing and limb swelling or joint stiffness. Conclusion Half ring slotted external fixator combind with limited internal fixation is an efficient way to treat complex tibial and fibular fracture.
出处
《临床骨科杂志》
2002年第4期293-295,共3页
Journal of Clinical Orthopaedics
关键词
外固定器
胫骨骨折
腓骨骨折
骨折固定术
内
external fixator
tibial fracture
fibular fracture
fracture fixation,internal