组合式外固定器结合小夹板固定治疗胫骨骨折  

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

作　　者：余松 莫挺飞 古安武 王新 

机构地区：[1]深圳市龙岗区横岗医院外三科,广东深圳518115

出　　处：《中国骨伤》2005年第7期394-395,共2页China Journal of Orthopaedics and Traumatology

摘　　要：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。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 toothed to tibia fracture, but its fixation is not unstable and is limited to multiple fracture and comminuted fracture.

关 键 词：胫骨骨折 外固定器 夹板治疗 小夹板固定治疗 组合式外固定器 外固定器固定 皮肤创面愈合 早期使用 骨折愈合 针道感染 

分 类 号：R274.110.5[医药卫生—中医骨伤科学] R683.42[医药卫生—中医学]