切开复位单边外固定架固定治疗胫骨干骨折  

Clinical Application in Closed Fracture of Tibia Diaphysis Treated by Operating Replacement to Fix with Unilateral External Fixation Apparatus

作　　者：王永东[1] 张连生[1] 王国强[1] 东家茂[1] 刘聪[1] 

机构地区：[1]内蒙古医学院附属人民医院骨科,内蒙古呼和浩特010020

出　　处：《实用骨科杂志》2007年第2期67-69,共3页Journal of Practical Orthopaedics

摘　　要：目的探讨单边外固定架固定治疗闭合性胫骨干骨折时采用切开复位的临床效果。方法选择120例胫骨干闭合性骨折的患者,在条件尽可能相近的情况下分为两组,每组60例,一组采用切开复位,另一组采用闭合复位,复位后两组均使用单边外固定架固定。术后随访一年半。对其复位情况、骨折愈合情况、钉道及局部感染以及手术所用时间进行分析,并做统计学处理。结果切开复位组的解剖复位率明显高于闭合复位组(P<0.01),骨折愈合两组无统计学上的差异(P>0.05),钉道及局部感染情况两组相似,切开复位平均所用时间较闭合复位短。结论在使用单边外固定架固定治疗胫骨干闭合骨折时采用切开复位是一种很好的方法。Objective To discuss the clinical effect of operating replacement to fix when treating closed fracture of tibia diaphysis with unilateral external fixation apparatus（UEFA）. Methods Divide 120 cases of closed fracture of tibia diaphysis into two groups under the same possible circumstances. Each group has 60 cases. One group was treated by operating replacement, the other group was treated by closed replacement. Two groups were treated by unilateral external fixation apparatus to fix after replacement. The cases were interviewed for one year and a half after operations. To analyse their replacement, fracture union, partial infection in nail path and operation＇s time and to handle them in statistics. Results The dissection replacement of the operation replacement group was clearly higher than the closed replacement group（P〈0.01）. There was no difference between two groups in statistics（P〉0. 05）. Two groups were similar in nail path and partial infection. The average time which spent in operating replacement was shorter than closing replacement. Conclusion It is a very good way to treat closed fracture of tibia diaphysis by operating replacement to fix with Unilateral External Fixation Apparatps.

关 键 词：胫骨干骨折 切开复位 单边外固定架 

分 类 号：R683.42[医药卫生—骨科学]