摘要
目的探讨应用外固定支架结合有限内固定治疗开放性胫骨平台骨折的方法和疗效。方法自2001年2月至2005年9月,采用双臂外固定支架治疗开放性胫骨平台骨折53例,按 Schatzker 分型:Ⅴ型35例,Ⅵ型18例。开放性创口按照 Gustilo 分型:Ⅰ型15例,Ⅱ型22例,Ⅲ型16例。结果随访5～22个月,平均10个月,所有患者均骨性愈合。根据 Merchant 评分标准.优18例,良25例,可9例,优良率达83%。结论双臂外固定支架结合有限内固定技术具有创伤小、内固定牢靠、并发症少等优点,是治疗开放性胫骨平台骨折的有效方法。
Objective To explore the clinical outcome of self-designed bilateral external fixaror combined with limited internal fixation for the treatment of open fracture of tibial plateau. Methods From February 2001 to September 2005,23 cases of open tibial plateau fractures were treated with bilateral external fixator combined with limited internal fixation. According to Schatzker classification,there were 35 patients with type Ⅴ fracture and 18 patients with type Ⅵ fracture. According to Gustilo classification,there were type Ⅰ in 15 cases,type Ⅱ in 22 cases, type Ⅲ in 16 cases. Resulls The follow-up period was 5 to 22 months（mean 10 months）. All the fractures got united. According to Merchant grade, 18 cases were evaluated as excellent, 25 as good,9 as fair. The rate of excellent and good results was 83 % . Conclusion Operation by using bilateral fixator combined with limited internal fixator can make fixation stable and reduce complication. It is an effective method to treat complex fractures of open tibial plateau.
出处
《中国基层医药》
CAS
2007年第7期1103-1104,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胫骨骨折
外固定支架
骨折固定术
Tibial fracture
External fixation
Fracture fixation
