组合式外固定器结合小夹板固定治疗胫骨骨折

目的：采用组合式外固定器结合小夹板固定治疗胫骨骨折，并探讨其治疗疗效。方法：对164例胫骨骨折病例，早期使用组合式外固定器固定，后期改用小夹板固定，直至骨折愈合。结果：1例血运不良并感染截肢、8例骨不连、15例迟缓愈合，其余140例全部愈合。结论：外固定器与小夹板固定优势互补，手术操作简单，早期有利于皮肤创面愈合，又可克服小夹板早期固定不牢靠的缺陷；后期使用小夹板固定，能有效防止外固定器针道感染及应力遮挡，免除二次手术痛苦，是一种较好的治疗方法；但对于多发或粉碎性骨折固定欠牢固，存在局限性。

Combined external fixation device with splinting for the tretment of tibia fracture

Objective:To explore the effects of combined extenal fixation device with splinting for the treatment of tibial fracture.Methods:164 patients of tibia fracture were treated with combined external fixation divice in earlier period of fracture,and with splinting in later period.Results:Fracture healed completely in 140 cases,except for 15 cases delayed healing,8 cases unconnected,1 case infected and amputated extremity.Conclusion:External fixation device and splinting have dominant complementation to make for skin healing,overcoming unstable fracture at early period;splinting in the later period can prevent from infection and stress obstruction,avoid reoperation.It is a better mothed to tibia fracture,but its fixation is not unstable and is limited to multiple fracture and comminuted fracture.