克氏针有限内固定加外固定支架治疗胫腓骨远端粉碎性骨折的临床体会

Clinical experience of the treatment of comminuted fracture of tibia and fibula with limited internal fixation and external fixation

目的:探讨采用克氏针有限固定加外固定支架治疗胫腓骨远端粉碎性骨折的疗效。方法:将140例胫腓骨远端粉碎性骨折患者分为观察组和对照组,分别采用克氏针有限固定加外固定支架和切开复位锁定钢板内固定。结果:两组在手术时间、住院时间和并发症方面比较,差异有统计学意义(P<0.05)。结论:采用克氏针有限固定加+外固定支架治疗胫腓骨远端粉碎性骨折,创伤小、恢复好、花费少,操作简便,安全,有效。

Objective:To investigate the therapeutic effect of Ke pin limited fixed and external fixation bracket in the treatment of comminuted fracture of distal tibia and fibula.Methods:140 patients with comminuted fracture of distal tibia and fibula were divided into the observation group and the control group.They used the Ke pin limited fixed+external fixation bracket treatment and the open reduction and locking plate internal fixation treatment respectively.Results:The two groups had no differents in operation time,hospitalization time and complications (P<0.05).Conclusion:Ke pin limited fixed and external fixation bracket in the treatment of comminuted fracture of distal tibia and fibula has small trauma,good recovery,less cost,easy to operate,safe and effective.