摘要
目的 :探讨严重胫腓骨骨折外固定治疗的优越性。方法 :本组32例严重胫腓骨骨折据Gustilo分类均为Ⅲ型 ,有26例开放性骨折经清创后一期用单边外固定架固定 ,6例系内固定后发生创伤性骨髓炎而取出内固定改用外固定架治疗 ;创面行一期中厚皮片回植包扎、皮瓣转移或二期缝合。结果 :32例骨折一期愈合26例 ,延迟愈合6例 ,无骨不愈合 ,平均愈合时间6个月。创面均愈合。结论 :单边外固定架在治疗严重胫腓骨骨折中 ,在有效稳定骨折的同时尚便于局部创面处理 ,减少骨折端血运破坏 ,有利于骨折愈合 ,尤在发生创伤性骨髓炎外固定架具有独特的优越性。
Objective:To study the superiority of external fixation for treating severe tibiofibular fracture.Methods:All patients with severe tibiofibular fracture in this group were type Ⅲaccording to Gustilo classification,in which 26 cases with open fracture were treated with unilateral erternal fixator after debridement,the other 6 cases developed traumatic osteomyelitis after internal fixation,their curative method was changed over to external fixation with external fixator at the time of removing internal fixation.The wounds were managed by routine suture,skin graft transfer or secondary suture.Results:25 cases were primary healing,6 cases were delayed healing,The average healing time was 6 months.Nonunion of fracture was not found.Conclusion:Unilateral external fixator for treating severe tibiofibular fracture is effective fixation of fracture ends and reduction of blood circulation injury,and advantageous to fracture healing,with distinctive superiority,especially in the patients with traumatic osteomyelitis.
出处
《现代医药卫生》
2004年第15期1467-1468,共2页
Journal of Modern Medicine & Health
