摘要
目的:观察分析胫腓骨开放性骨折早期处理及治疗效果。方法:131例(164肢)患者入院创面反复冲洗清创,早期修复软组织为主,提供软组织修复的初期稳定,选择合适的固定方式,外支架固定107肢,不扩髓绞锁髓内钉固定34肢,钢板内固定11肢,石膏外固定7肢等。结果:123例(154肢)均获7～21.5个月随访,平均11.5个月。骨折愈合时间4.5～21个月,平均7.7个月,其中延迟愈合6肢,占3.9%;2肢不愈合,占1.3%,二次手术治愈。Johner-Wruh评分标准:129肢优、19肢良,2肢中,4肢差,优良率96.1%。结论:胫腓骨开放性骨折,早期提供较理想的软组织修复,用外固定支架稳定骨折,尤其适用Ⅲ度开放骨折,可获良好治疗效果。
Objective：To research the early treatment of open tibiofibular fractures and evaluate its clinical effect.Methods：The wounds of 131 patients （164 limbs）were thoroughly debrided and closed as early as possible.After the debridement, 107 limbs were treated with external fixation , 34 limbs with unreamed interlocked tibial nails, 11 limbs with steel plates , and so on. Results：Follow-ups of 123 cases （154 limbs）from 7 to 21.5 months （11.5 months on average）showed that all the cases achieved osseous union. The mean union time was 7.7 months. The total excellent and good rates of fracture healing and functional recovery were 96.1%,the function was assessed by the criterion of Johner-Wruth. Conclusion：To close the wound in a perfect way and use external fixation to stabilize the tibiofibular fracture ,especially in Ⅲtype tibiofibular fracture,can bring about good effect.
出处
《泸州医学院学报》
2007年第5期393-396,共4页
Journal of Luzhou Medical College
关键词
开放性骨折
外固定
内固定
Open fractures
External fixation
Internal fixation
