组合式跨关节外固定架治疗胫骨近端ⅢC型骨折

Treatment of proximal tibial open fracture complicated with vessel injury by transarticular external fixation

目的探讨使用自制跨关节外固定架治疗胫骨近端ⅢC型开放性骨折的可行性。方法本组23例,均为胫骨近端ⅢC型骨折,采用组合式跨关节外固定架固定骨折端及膝关节,修复损伤血管。结果术后22例远端肢体均获成活,1例因缺血时间过长截肢。19例获随访,骨折均愈合,平均愈合时间6个月,膝关节功能基本正常。结论采用跨关节外固定架治疗胫骨近端开放性骨折合并血管损伤取得了良好的效果。

Objective To discuss the possibility of treating tibial proximal o pen fracture complicated with vessel injury by the self-made transarticular ext ernal fixation. Methods 23 patients with open fracture in the proximal tibial we re treated by the self-made transarticular external fixation, and the injured v essels were repaired. Results After the operation, the distal limb survived in 2 2 patients, but it had to be amputated in 1 patient, due to a long period of isc hemia. 19 patients were followed up for 6 months. All the fractures healed after 6 months on average, and the function of the knee recovered to normal. Conclusi on Good results can be obtained by the self-made transarticular external fixati on in treating the open fracture of proximal tibial complicted with vessel injur y.