组合式四肢骨折通用型外固定器治疗胫腓骨骨折

目的：探讨组合式四肢骨折通用型外固定器对胫腓骨骨折的临床治疗效果。方法：37例胫腓骨骨折患者均采用组合式四肢骨折通用型外固定器治疗,其中男28例,女9例;年龄22～76岁,平均47.8岁。横形骨折7例,粉碎性骨折18例,螺旋形骨折8例,斜形骨折4例。闭合性骨折29例,开放性骨折8例。结果：37例患者获得随访,随访时间6～13个月,平均9个月,骨折全部愈合。结论：组合式四肢骨折通用型外固定器治疗胫腓骨骨折具有创伤小、操作难度低、安装拆卸方便、固定稳固、骨折愈合率高等优点,膝踝关节运动不受影响,甚至可戴外固定器行走,无须长期卧床。

Therapeutic effect of combined multifunctional external fixator for treatment of tibiofibular fracture

Objective: To study the therapeutic effect of combined multifunctional external fixator for treatment of tibiofibular fracture. Methods: From Oct 1999 to Apr 2006,37 patients of tibiofibular fractures were treated with combined multifunctional external fixator. There were 28 males and 9 females with an average of 47.8 years(range,from 22 to 76 years). There were 7 cases with transverse fracture,18 comminuted fracture,8 spiral fracture and 4 oblique fracture;closed fracture was in 29 cases and open fracture was in 8. Results: All the patients were followed up 6 to 13 months(mean,9 months)and achieved union of the fractures. Conclusion: Combined multifunctional external fixator for tibiofibular fracture has many advantages such as minimal invasion,convenient operation,reliable fixation and high union ratio of fracture. Moreover,the treatment has no influence on motion of knee and ankle joint,even patient can walk with external fixator without long-term bed rest.