胫腓骨骨折手术治疗的体会(附87例报告)

目的回顾性分析带锁髓内钉和解剖型钢板治疗胫腓骨骨折的临床疗效。方法手术治疗胫腓骨骨折87例(84位患者)。骨折部位:中上段:9例,中段:30例,中下段:48例。髓内钉治疗65例,解剖型钢板治疗22例。结果本组85例(82位患者)获得随访,随访时间6月￣16月。80例骨折愈合,5例骨折不愈合或愈合延迟。1例伤口皮肤坏死,1例脂肪栓塞,1例术后并发骨筋膜室综合症。结论手术治疗胫腓骨骨折无论应用钢板内固定还是带锁髓内钉固定都应该较好地坚持“BO”原则及无创原则。只要固定方法妥当都能取得满意的疗效。

Analysis of Treatment of Tibia-fibula Fracture

Objective retrospective analysis to clinic effect of tibia-fibula fracture with interlocking intramedullary nail and anatomical plate.Methods eighty-seven cases (eighty-five patients) of tibia-fibula fracture were treated. Among them, 65 were treated with interlocking intramedullary nail,22 were treated with anatomical plate. The fracture sites were: 9 upper parts, 30 mid-third, 48 lower parts.Results 85 cases(83 patients) were followed up for 6~16 months. 80 cases were union,5 cases were nonunion or delay union. 1 case was skin necrosis,1case was fat embolism syndrome,1 case was osteofascial compartment syndrome after operation.Conclusion it should persist in BO principle and minimally invasive principle in treatment of tibia-fibula fracture either with interlocking intramedullary nail or with anatomical plate.