18 patients with multiple comminuted fractures of tibia and fibula had been treated from 1993 to 1995. In this paper,the clinical features and therapeutic methods of this kind of fracture were discussed- It was believ...18 patients with multiple comminuted fractures of tibia and fibula had been treated from 1993 to 1995. In this paper,the clinical features and therapeutic methods of this kind of fracture were discussed- It was believed that the combination of internal fixation of fibula fracture with Kirschner’s pins.internal fixation of tibial fracture with multiple common steel plates and screws,and external fixation with plaster is an effective method. Its advantages are: ① The operative procedures are simple and easy; ②The common plates are small,can be placed in suitable positions according to the condition of iniury,and are advantageous to the healing of the wound at the shank; ③The reduction of fractures is good. Its disadvantage is the external fixation with plaster is needed yet. In this group,the good bony union was found in 17 cases and the refracture was happened only in one case due to injiury from falling after removing external fixation. So the therapeutic effect is satisfactory.展开更多
目的：探讨闭合复位经皮内固定治疗胫腓骨下段粉碎性骨折的临床疗效。方法对25例胫腓骨下段粉碎性骨折实施闭合复位钛针固定、腓骨、经皮锁定钢板内固定胫骨术治疗并进行临床观察。结果25例均获得随访，时间12～30个月，患者均获骨性愈...目的：探讨闭合复位经皮内固定治疗胫腓骨下段粉碎性骨折的临床疗效。方法对25例胫腓骨下段粉碎性骨折实施闭合复位钛针固定、腓骨、经皮锁定钢板内固定胫骨术治疗并进行临床观察。结果25例均获得随访，时间12～30个月，患者均获骨性愈合。未出现深部感染、内固定松动、断裂等并发症。按Mazur et al评分标准：优17例，良6例，可1例，差1例。结论闭合复位钛针固定联合经皮锁定钢板内固定治疗胫腓骨下段粉碎性骨折固定可靠、并发症少。展开更多
文摘18 patients with multiple comminuted fractures of tibia and fibula had been treated from 1993 to 1995. In this paper,the clinical features and therapeutic methods of this kind of fracture were discussed- It was believed that the combination of internal fixation of fibula fracture with Kirschner’s pins.internal fixation of tibial fracture with multiple common steel plates and screws,and external fixation with plaster is an effective method. Its advantages are: ① The operative procedures are simple and easy; ②The common plates are small,can be placed in suitable positions according to the condition of iniury,and are advantageous to the healing of the wound at the shank; ③The reduction of fractures is good. Its disadvantage is the external fixation with plaster is needed yet. In this group,the good bony union was found in 17 cases and the refracture was happened only in one case due to injiury from falling after removing external fixation. So the therapeutic effect is satisfactory.
文摘目的：探讨闭合复位经皮内固定治疗胫腓骨下段粉碎性骨折的临床疗效。方法对25例胫腓骨下段粉碎性骨折实施闭合复位钛针固定、腓骨、经皮锁定钢板内固定胫骨术治疗并进行临床观察。结果25例均获得随访，时间12～30个月，患者均获骨性愈合。未出现深部感染、内固定松动、断裂等并发症。按Mazur et al评分标准：优17例，良6例，可1例，差1例。结论闭合复位钛针固定联合经皮锁定钢板内固定治疗胫腓骨下段粉碎性骨折固定可靠、并发症少。
