腓骨钢板内固定治疗胫腓骨远端粉碎性骨折24例报告  

作　　者：魏入帅[1] 张学康[1] 

机构地区：[1]江苏省连云港市第二人良医院骨科,222023

出　　处：《当代医学》2008年第12期25-26,共2页Contemporary Medicine

摘　　要：目的探讨腓骨内固定治疗胫、腓骨不稳定性骨折的特点。方法采用腓骨钢板内固定及使用皮质骨螺钉同时固定胫腓骨加石膏外固定治疗严重胫腓骨开放性骨折24例。交通事故伤14例，机器碾压伤8例，重物砸伤2例。骨折位置均为胫腓骨远端粉碎性骨折。闭合性骨折7例，开放性骨折17例。结果24例均达临床愈合，平均临床愈合时间为4个月，骨折位置良好，关节功能恢复正常，无皮肤坏死及感染发生。结论（1）腓骨内固定后有益于胫骨内固定的稳定；（2）恢复腓骨的解剖位置，有利于踝关节的稳定性；（3）显著提高胫腓骨骨折的愈合率。The purpose of the fibula in the treatment of tibia, fibula fracture of the instability of the characteristics. Methods fibula plate fixation and the use of eortical bone screws at the same time fixed tibia and fibula and plaster fixation for the treatment of severe open fracture of tibia and fibula in 24 cases. Traffic accident in 14 cases, eight cases of injury RCC machines, weights injured two cases. Remote locations are fracture of tibia and fibula fracture. Closed fracture seven cases, 17 cases of open fractures. Results： 24 cases reached the clinical healing, healing time for an average of four months, good location fractures, joint function returned to normal, no skin necrosis and infection. Conclusion （1）fibula, tibia fixed benefit the stability of fixation. （2）the resumption of the fibula anatomical location is conducive to the stability of the ankle joint.（3） significantly increased the tibia and fibula fracture healing rate.

关 键 词：不稳定性骨折 腓骨内固定 胫骨闭合性 手法复位 

分 类 号：R687.3[医药卫生—骨科学]