成人胫腓骨骨折130例治疗分析

总结并分析了成人胫腓骨骨折１３０例的治疗效果，其中切开复位内固定７４例（为Ａ组）：手法整复小夹板（或石膏）外固定、跟骨牵引小夹板外固定５６例（为Ｂ组）；治疗结果为优良率Ａ组占８９．４８％、Ｂ组占７５．００％，经统计学处理，两组疗效差别有统计学意义。认为普通钢板适用于胫骨干任何部位的开骨折内固定，保留骨膜的血 对骨愈合有重要意义；另压钢板地上１／３至下１／３段形骨折；单仙以架地开放性，污染严重的横形

AN ANALYSIS ON THE TREATMENT OF 130 CASES OF ADULT TIBIAL AND FIBULAR FRACTURES

One hundred and thirty cases of tibial and fibular fractures were divided into Group A (n=74 cases) and Group B (n=56 cases), and two of them were treated by open reduction and internal fixation and by manipulative reduction and splints or plaster external fixation or calcaneal traction and splints external fixation, respectively. The results showed that the excellent good rates of groups A and B reached 89.18 % and 75.00 %, respectively. The therapeutic effects of the two groups were statistically treated and had a significant difference (WT6BX]P WT6BZ]< 0.05). It was believed that the general steel plate is suitable for the internal fixation of all types of tibial diaphyseal fracture in any level, retains the blood supply to the periosteum and thus has an important significance to fracture healing; compressing plate is suitable only for the transverse fracture of the segment from the upper third to the lower third; unilateral external fixator brace is suitable for open seriously polluted transverse or spiral fracture; locked intramedullary nail offers strong and reliable fixation and allows early postoperative off bed exercises; splints or plaster external fixation and calcaneal traction are suitable for stable tibial and fibular fractures with a little diaplacement. It was concluded that various fixating methods have their advantages and disadvantage, and the indication of each should be strictly selected in the clinical application.