难复性胫腓骨骨折治疗研究进展  

Progress in the treatment of refractory tibia and fibula fracture

作　　者：王栋栋[1] 陈凯[1] 孙宏志[1] 郭小文[1] 胡晓东 黄劲东[1] WANG Dong-dong;CHEN Kai;SUN Hong-zhi;GUO Xiao-wen;HU Xiao-dong;HUANG Jin-dong(Department of Trauma Orthopedics,Liuzhou People 's Hospital,Liuzhou,Guangxi 545006,China)

机构地区：[1]柳州市人民医院创伤骨科,广西545006

出　　处：《创伤外科杂志》2019年第5期393-396,共4页Journal of Traumatic Surgery

基　　金：广西壮族自治区卫生厅课题(Z2017429)

摘　　要：难复性胫腓骨骨折是指两个平面以上的胫腓骨双骨干断裂,其不仅是简单的两个骨折的叠加,还是一种坍塌式骨折,即多个骨折部位之间留下一段或多段游离骨干,常伴有骨块的劈裂、分离、旋转和移位等,其具有创伤重、并发症多、诊治复杂等特点。本文回顾性探究难复性胫腓骨骨折的特点及治疗方案,分析胫腓骨骨折复杂固定方式、手术注意事项以及治疗方法。Refractory tibia and fibula fracture is fracture of the diaphysis of the tibia and fibula above two planes. It is not only the superposition of the simple two fractures,but also a collapse type fracture,that is,one or more segments of the free diaphysis are left between the parts of the fracture,often accompanied by cleavage,separation,rotation and displacement of the bone mass. It is characterized by severe trauma,many complications,complicated diagnosis and treatment. This article reviews the characteristics and treatment of refractory tibia and fibula fracture,analyzes the complicated fixation methods of tibia and fibula fracture and the cautions of operation,and summarizes the treatment methods.

关 键 词：胫腓骨骨折 内固定 研究进展 

分 类 号：R683.42[医药卫生—骨科学]