组合式外固定架治疗胫腓骨多段粉碎性骨折

Treatment of multiple comminuted fractures of tibia and fibula using combined external fixatiors

目的 探讨和总结组合式外固定架治疗胫腓骨多段粉碎性骨折的效果。方法 近3年收治胫腓骨多段粉碎性骨折25例,其中男18例,女7例,年龄18～52岁,平均37.5岁,均采用组合式外固定架治疗。结果 经3～15个月随访,25例患者骨折全部愈合,平均愈合时间5.8个月,拆除全部外固定时间平均7.6个月。3例发生针道感染,4例轻度畸形愈合。结论 组合式外固定架是治疗胫腓骨多段粉碎性骨折的理想方法。

Objective To study and sum up the experience of using combined external fixation to treat comininuled fractures at multiple pails of the tibia and fibula.Methods 25 patients with multiple comminuted fractures uf the tibia arid fibula were treated with combined external fixation in the past three years.There were 18 mules and 7 females,and their average age was 37.7 years (ranging from 18 ~ 52 years).Results After 3 ~ 15 months' follow-up,all the patients recovered perfectly.The average time of bone union was 5.8 months,and the average time of removing all the external fixation was 7.6 months.3 cases suffered slight infection of needle course,and 4 cases suffered slight malunion.Conclusion The combined external fixation is a perfect way to cure the multiple comminuted fractures of tibia and fibula.