摘要
目的 探讨开放性胫腓骨骨折采用不同手术治疗方法的优缺点及适应证。方法 对采用加压钢板、外固定支架及交锁髓内钉三种不同的固定方法治疗的 96例开放性胫腓骨骨折病人的骨折情况及疗效进行分析对比。结果 三种治疗法在疗效 (离床下地时间 ,骨折愈合时间 ,骨折不愈合发生情况及伤口感染情况 )上有显著差异 (P <0 .0 5 ) ,加压钢板离床下地活动时间和骨折愈合时间最长 ,伤口感染、骨不连发生率最高。结论 交锁髓内钉固定牢靠、并发症少 ,骨折愈合率高 ,最适用于多段性骨折。外固定支架操作简单 ,创伤小 ,最适用于严重开放性骨折 ,但稳定性差。加压钢板固定牢靠 ,尤适用于近关节处骨折 。
Objective To investigate the advantages and disadvantages of different operative methods in treating open tibiofibular fractures .Methods Retrospective analysis of fracture situation and cure effect of 96 cases which were stabilized by three different management: steel plate, external fixation and interlocking nail. Results Three methods have significant difference (P<0.05) on four aspects: the time of early active moment, the time of fracture recovery, nonunion and wound infection. The method of internal fixated with steel plate has the longest time of early active moment and fracture recovery, the highest rate of wound infection and nonunion of the three methods. Conclusion The method of interlocking nail has the characteristics of stability, few complications and high rate of fracture recovery .It is the most suitable treatment of the three methods,especially for many segment fractures. The method of external fixation is simple and it has the characteristics of few injury, bad stability and it is suit to treat seriously open fractures. The method of steel plate is stable. It is especially suit to treat nearby joint fractures but it has high rate of infection and nonunion.
出处
《菏泽医学专科学校学报》
2002年第4期8-10,共3页
Journal of Heze Medical College
关键词
胫腓骨
开放性骨折
手术治疗
tibia and Fibula
open fractures
operative treatment
