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组合式外固定器治疗胫骨远端开放性骨折的临床应用
引用本文:郭明君,郑良伟,胡运生,张勇,马保安.组合式外固定器治疗胫骨远端开放性骨折的临床应用[J].临床军医杂志,2010,38(3):338-340.
作者姓名:郭明君  郑良伟  胡运生  张勇  马保安
作者单位:1. 解放军第四军医大学唐都医院,骨科,陕西,西安,710038
2. 解放军第537医院,医务处,陕西,宝鸡,721000
摘    要:目的探讨组合式外固定器治疗胫骨远端开放性骨折的疗效。方法 2007年3月—2008年9月,对20例胫骨远端开放性骨折应用组合式外固定器治疗。结果 20例患者获12~30月(平均18个月)随访,其骨折及创面获得愈合。术后并发症:2例有针道明显感染,2例有严重的踝关节活动时疼痛,1例皮瓣坏死后延迟愈合。结论组合式外固定器治疗胫骨远端开放性骨折,手术操作简单易行,标准化、程序化操作性强,手术风险低且疗效确切。

关 键 词:组合式外固定  胫骨远端骨折  治疗

Clinical application of hybrid external fixator to treatment of open distal tibial fractures
Guo Ming-jun,Zheng Liang-wei,Hu Yun-sheng,Zhang Yong,Ma Bao-an.Clinical application of hybrid external fixator to treatment of open distal tibial fractures[J].Clinical Journal of Medical Officer,2010,38(3):338-340.
Authors:Guo Ming-jun  Zheng Liang-wei  Hu Yun-sheng  Zhang Yong  Ma Bao-an
Abstract:Objective To explore the efficacy of hybrid external fixator on the treatment of open distal tibial fracture.Methods March 2007 through September 2008,20 patients of open distal tibial fracture were treated with combined external fixation.Results he fractures and the wounds of the 20 patients were healed up in the follow-up of 12 to 30 months(mean 18 months).As for postoperative complications,2 patients suffered from significant needle tract infections,2 patients from severe ankle joint pain,and 1 patient from delayed healing of skin flap necrosis.Conclusion The hybrid external fixator is fit for the treatment of open distal tibial fracture,with an advantage of simple,feasible,standardized,programmed and low-risk operation.
Keywords:hybrid external fixator  distal tibial fracture  treatment
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