Ⅲ型开放性胫腓骨折治疗策略  

Treatment Strategy of Type Ⅲ Open fractures of Tibial and Fibular

作　　者：王科学[1] 吴勇刚[1] 赖国维[1] 鲜成树[1] 黄历[1] 郭超[1] 郞志刚 李俊春[1] 

机构地区：[1]成都市新都区人民医院,四川成都610500

出　　处：《职业卫生与病伤》2011年第6期346-348,共3页Occupational Health and Damage

摘　　要：目的探讨Ⅲ型开放性胫腓骨折的有效治疗方法及临床疗效。方法回顾性分析2002-01/2010-08治疗的112例Ⅲ型开放性胫腓骨骨折,其中男84例,女28例,年龄9～69岁。按Gustilo分类:ⅢA 57例,ⅢB 43例,ⅢC 12例。内固定治疗79例,外固定治疗30例,截肢3例,观察其疗效。结果 102例获得平均1.5年(1～4年)随访。97例达骨愈合标准,5例骨不愈合;76例已取出内固定物。结论有效的早期清创,正确的内固定,合理的软组织修复,可有效减少感染、骨不愈合及致残率,缩短住院时间。Objective To explore effective treatment and clinicall outcome of type-Ⅲ open fracture of tibial and fibular.Methods The retrospective analysis were carried out in 112 cases of type-Ⅲ open fractures of tibial and fi-bular.from March 2002 to August 2010.There were 84 males and 28 females with an average age of 35.4 years（ranged from 9 to 69 years）.By Gustilo＇s classi fication,ⅢA type in 57 cases,ⅢB type in 43 cases,ⅢC type in 12 cases.Seventy-nine cases were treated by interfixation.30 cases were treated by external fixate-on,3 cases were performed amputations.Results 102 patients were followed up for 1 to 4 years（mean,1.5 yeals）.Ninety-seven patients healing nstitution;76 cases were relieved fixed devices,with no-union（5 cases） rate was 4.93%.Conclusion Effective early debridement,correct internal fixation,and the reasonable soft tissue repairment can effectively reduce the rate of infection,bone nonunion and mutilation rate,shorten the time of hospitalization.

关 键 词：胫腓骨骨折 内固定 软组织损伤 外固定支架 

分 类 号：R681.8[医药卫生—骨科学]