有限内固定联合外固定支架治疗胫腓骨严重开放粉碎性骨折的临床效果(1)
【摘要】 目的 探讨有限内固定联合外固定支架治疗胫腓骨严重开放粉碎性骨折的临床疗效。方法 36例胫腓骨严重开放粉碎性骨折患者， 按入院顺序单号为对照组18例， 行单纯外固定支架治疗， 双号为观察组18例， 行有限内固定联合外固定支架治疗， 比较两组手术出血量、手术操作时间、骨折愈合时间、完全负重时间及术后并发症发生情况。结果 观察组患者手术出血量多于对照组， 手术操作时间长于对照组， 差异具有统计学意义(P<0.05)。但观察组患者的骨折愈合时间及完全负重时间均短于对照组， 差异具有统计学意义(P<0.05)。观察组1例关节活动受限， 并发症发生率为5.56%， 对照组2例切口感染， 2例关节活动受限， 2例骨不连， 并发症发生率为33.33%， 差异具有统计学意义(P<0.05)。结论 对胫腓骨严重开放粉碎性骨折患者采取有限内固定联合外固定支架治疗的效果较好， 促进骨折愈合， 且术后并发症少。
【关键词】 胫腓骨；严重开放粉碎性骨折；有限内固定；外固定支架
DOI：10.14163/j.cnki.11-5547/r.2017.17.024
Clinical effect by limited internal fixation combined with external fixation in the treatment of severe open comminuted tibiofibular fracture TAO Feng. Department of Orthopedics， Guangdong Shanwei City Luhe Huayue Hospital， Shanwei 516723， China
【Abstract】 Objective To investigate clinical effect by limited internal fixation combined with external fixation in the treatment of severe open comminuted tibiofibular fracture. Methods A total of 36 patients with severe open comminuted tibiofibular fracture were divided by their admission order into control group (18 cases) receiving single external fixation treatment and observation group (18 cases) receiving limited internal fixation combined with external fixation treatment. Comparison was made on bleeding volume， operation time， fracture healing time， complete weight bearing time， and postoperative complications condition between the two groups. Results The observation group had more bleeding volume and longer operation time than the control group， and the difference had statistical significance (P<0.05). The observation group had both shorter fracture healing time and complete weight bearing time than the control group， and their difference had statistical significance (P<0.05). There was 1 case with limited joint motion in the observation group， with incidence of complications as 5.56%. There were 2 cases with incision infection， 2 cases with limited joint motion and 2 cases with bone ununion in the control group， with incidence of complications as 33.33%. Their difference had statistical significance (P<0.05). Conclusion Implement of limited internal fixation combined with external fixation shows excellent effect in the treatment of severe open comminuted tibiofibular fracture patients. This method can accelerate fracture healing， along with few postoperative complications.
【Key words】 Tibiofibular； Severe open comminuted fracture； Limited internal fixation； External fixation
脛腓骨严重开放粉碎性骨折是骨科常见疾病， 多由交通事故伤、高处坠落伤及撞击伤等暴力作用所致。由于骨折粉碎严重， 皮肤软组织受损严重甚至缺损， 关节软骨破坏， 临床治疗较困难[1]。手术是治疗胫腓骨严重开放粉碎性骨折的主要手段， 单纯外固定支架具有操作简便、固定牢靠等特点， 但难以达到理想治疗效果。故本院对2013年1月～2016年1月18例胫腓骨严重开放粉碎性骨折采取有限内固定联合外固定支架治疗， 效果较好， 分析如下。, http://www.100md.com(陶锋)
【关键词】 胫腓骨；严重开放粉碎性骨折；有限内固定；外固定支架
DOI：10.14163/j.cnki.11-5547/r.2017.17.024
Clinical effect by limited internal fixation combined with external fixation in the treatment of severe open comminuted tibiofibular fracture TAO Feng. Department of Orthopedics， Guangdong Shanwei City Luhe Huayue Hospital， Shanwei 516723， China
【Abstract】 Objective To investigate clinical effect by limited internal fixation combined with external fixation in the treatment of severe open comminuted tibiofibular fracture. Methods A total of 36 patients with severe open comminuted tibiofibular fracture were divided by their admission order into control group (18 cases) receiving single external fixation treatment and observation group (18 cases) receiving limited internal fixation combined with external fixation treatment. Comparison was made on bleeding volume， operation time， fracture healing time， complete weight bearing time， and postoperative complications condition between the two groups. Results The observation group had more bleeding volume and longer operation time than the control group， and the difference had statistical significance (P<0.05). The observation group had both shorter fracture healing time and complete weight bearing time than the control group， and their difference had statistical significance (P<0.05). There was 1 case with limited joint motion in the observation group， with incidence of complications as 5.56%. There were 2 cases with incision infection， 2 cases with limited joint motion and 2 cases with bone ununion in the control group， with incidence of complications as 33.33%. Their difference had statistical significance (P<0.05). Conclusion Implement of limited internal fixation combined with external fixation shows excellent effect in the treatment of severe open comminuted tibiofibular fracture patients. This method can accelerate fracture healing， along with few postoperative complications.
【Key words】 Tibiofibular； Severe open comminuted fracture； Limited internal fixation； External fixation
脛腓骨严重开放粉碎性骨折是骨科常见疾病， 多由交通事故伤、高处坠落伤及撞击伤等暴力作用所致。由于骨折粉碎严重， 皮肤软组织受损严重甚至缺损， 关节软骨破坏， 临床治疗较困难[1]。手术是治疗胫腓骨严重开放粉碎性骨折的主要手段， 单纯外固定支架具有操作简便、固定牢靠等特点， 但难以达到理想治疗效果。故本院对2013年1月～2016年1月18例胫腓骨严重开放粉碎性骨折采取有限内固定联合外固定支架治疗， 效果较好， 分析如下。, http://www.100md.com(陶锋)