外固定支架在Gustilo Ⅲ型胫腓骨开放性骨折分期治疗中的应用被引量：2

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摘要目的探讨外固定支架在GustiloⅢ型胫腓骨开放性骨折分期治疗的临床疗效,为临床治疗GustiloⅢ型胫腓骨开放性骨折患者提供依据。方法将94例GustiloⅢ型胫腓骨开放性骨折患者随机分为观察组和对照组各47例,观察组按Ⅲ型胫腓骨骨折分型实施外固定支架固定的方法;对照组采用常规髓内钉治疗,观察比较两组的愈合时间和并发症。结果通过骨折愈合时间和并发症比较分析得出,外固定支架组的愈合时间较带锁髓内钉组短,两组愈合时间比较具有显著性差异(P<0.05);带外固定支架组仅1例深部感染,3例延迟愈合及1例不愈合,带锁髓内钉组有3例深部感染,4例延迟愈合,1例不愈合,前者明显优于后者。结论在GustiloⅢ型胫腓骨开放性骨折分期治疗中应用外固定支架术可早期闭合创面,明显改善患者的骨折愈合。

作者周宇张冉孙宏志

机构地区广西柳州市人民医院创伤骨科

出处《齐齐哈尔医学院学报》 2013年第19期2830-2831,共2页 Journal of Qiqihar Medical University

关键词外固定 GUSTILO Ⅲ型胫腓骨骨折

分类号 R683.42 [医药卫生—骨科学]

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