单侧外固定器与3种内固定治疗胫腓骨骨折的比较

目的 评价单侧外固定器治疗胫腓骨骨折的优越性。方法 将单侧外固定器固定与其他3种内固定作比较，统计各组治疗失败率。结果 治疗失败率：钢板类固定组为10．44％，髓内针类固定组为2．7％，单纯螺钉钢丝固定组为3／5，单侧外固定器固定组仪0．89％。结论 单侧外固定器治疗胫腓骨骨折集中体现了保守疗法与内固定治疗的共同优点，避免了二者缺点，目前可作为多数胫腓骨骨折治疗的首选方法。

Comparision of unilateral external fixaor and three kinds of internal fixation methods in treatment of tibiofibular fracture

Objective To evaluate advantage of unilateral external fixator in treatment of tibiofibular fracture.Methods The one\|side external fixation was compared with three kinds of internal fixation, and the complication and therapeutic failure rate of each group were analyzed statistically. Results The therapeutic failure rate was as follows: steel plate fixation group, 10 44%; intramedullary nail fixation group, 2 7%; simple screw wire fixation group, 3/5; and unilateral external fixator group, only 0 89%. Conclusion Unilateral external fixator in treatment of tibiofibular fracture embodies both the advantage of conservative therapy and internal fixation treatment, and may avoid the disadvantage of them. It can be taken as the first choice in present treatment of tibiofibular fractures.