延期切开复位钢板内固定治疗胫腓骨远端骨折  

Clinical evaluation of delayed open reduction and internal fixation with anatomic plate for fracture of distal tibia and fibula

作　　者：张会忠 黄福东 梁晓 

机构地区：[1]高州市中医院骨科,广东省高州525200

出　　处：《中国基层医药》2006年第5期782-783,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨延期切开复位解剖钢板内固定治疗胫腓骨远端骨折的临床效果.方法利用跟骨牵引,石膏行骨折临时固定,待伤后7～10 d（平均8 d）,局部软组织损伤好转后再行切开复位解剖钢板内固定治疗胫腓骨远端骨折24例.结果骨折愈合时间12～29周,平均15.4周;按Johner-Wruh的评分标准,优16例,良6例,中1例,差1例,优良率92%.结论采用延期切开复位解剖钢板内固定治疗胫腓骨远端骨折,可获得比较满意的临床效果.Objective To analyze the results of distal tibia and fibula fracture treated with delayed open reduction and internal fixation with anatomic plate. Methods 24 fracture of distal tibia and fibula were stabilized temporanrily by application of plaster splint or calcaned traction immediately after injury. The definitive internal fixations were performed on an average of 8 days（range 7 to 10 days） after injury as soon as the soft tissue recovered. Results All patients were available for follow-up at an average of 2.6 years（range,1 to 4.5 years） after surgery. All fracture headed st an average of 15.4 weeks（range, 12 to 29 weeks） postoperatively. There were 16 excellent,6 good, 1 fair, and 1 poor results. The excellent and good rate was 92 %. Conclusion This two-stage treatment protocol for fracture of distal tibia and fibula leads to the best long-term outcomes.

关 键 词：胫腓骨骨折 骨折固定术 内 

分 类 号：R687.3[医药卫生—骨科学]