固定腓骨治疗胫骨多段多块,块间分离翻转骨折的研究

目的探求一种治疗胫骨多段多块 ,骨块间分离翻转骨折的方法。方法用先解剖复位固定腓骨 ,然后恢复胫骨骨折段、块的轴线序列 ,不锈钢丝绑扎固定的方法 ,治疗胫骨多段多块 ,骨块间分离翻转骨折 5 4例。结果 2 9例功能复位 ,2 5例解剖复位。随访 5 3例 ,随访时间为 1～ 6年 ,优 3 4例 ,良 18例 ,差 1例。结论本术式适用于胫骨多段多块 ,骨块间分离翻转 ,骨折粉碎段较长 ,不能用一块钢板纵行骑跨远近端固定的病例。在整个治疗过程中 ,解剖复位固定腓骨至关重要 ,为治疗的关键。

Study on treatment of the complex tibia fracture with multiple fragments or segments and interfragment separation and inversion by fixing the fibula

Objective To seek one method to treat the tibia fracture with multiple fragments or segments and interfragment separation and inversion.Methods The fibula fracture was anatomically reduced and fixed, then the alignment of the tibia axis was regained and the fracture was bonded by stainless steel wire, in order to treat tibia fracture with multiple fragments or segments and interfragment separation and inversion in 54 cases.Results 29 cases regained the function and 25 was anatomically reduced. Of 53 followed up cases within one to 6 years, 34 showed excellent, 18 better and 1 worse response.Conclusion This way is suitable to tibia fracture with multiple fragments or segments and interfragment separation and inversion and with long segment of fracture which can not be fixed by a plate. During the whole treatment, anatomical reduction is the first important to fix fibula fracture, which is key to the treatment.