开放性胫腓骨骨折不同固定方法疗效对比分析

目的探讨不同方法治疗开放性胫腓骨骨折的适应证及优缺点。方法对136例开放性胫腓骨骨折患者使用闭合复位、石膏或支具等制动或外固定支架固定和切开复位内固定两种不同的固定方法治疗,对骨折预后、并发症及疗效进行对比分析。结果两种治疗方法在疗效(早期活动、下地负重时间、骨折愈合时间)上差异有统计学意义(P=0.000)。结论充分考虑软组织的损伤情况及骨折的部位、程度和患者的年龄及全身情况,选择恰当的固定方法,有助于患者最大程度地功能恢复。

Effect of different fixation methods on treating open tibiofibular fractures

Objective To investigate the advantages and disadvant ages of different methods for treating open tibiofibular fractures.Metho ds 136 cases of open tibiofibular fractures were treated by either(1)closed reduction and immobilization by plaste,brace,or external fixator frame;or(2)open reduction and internal fixation.Results The effects derived from the two methods exhibited significant difference in many aspects: early ambulation the time for weight load and fracture union(P<0.05).Conclusion In order to achieve a good effect,the choice of fixation modalities should base on the extent and range of soft tissue impairment,location and extent of the fracture,as well as the age and general condition of the patients.