外固定架辅助治疗胫腓骨骨折伴软组织缺损的临床疗效观察  

Clinical Observation of External Fixator Assisted Treatment of Tibiofibula Fracture with Soft Tissue Defect

作　　者：周维 

机构地区：[1]丹东市中心医院手足外科,辽宁丹东118000

出　　处：《中国伤残医学》2022年第11期21-25,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析胫腓骨骨折伴软组织缺损患者治疗需求,评价外固定架辅助治疗的临床效果.方法:选择我院骨科2019年1月-2020年2月诊治的胫腓骨骨折伴软组织缺损患者(n=70),在软组织皮瓣修复缺损部位的基础上以随机数字表法分为内固定治疗、外固定架辅助治疗的对照组(n=35)和观察组(n=35).比较2组胫腓骨骨折伴软组织缺损患者治疗后肢体功能恢复效果、并发症情况、踝关节以及生活质量评分、住院时间、创面愈合时间状况.结果:组间踝关节疼痛、功能、活动度评分以及生活质量评分比较,观察组评分均高于对照组(P均<0.05);组间术后3个月随访肢体功能优良率比较,观察组与对照组差异不明显(P>0.05);组间酸痛不适、肢体畸形以及伤口感染并发症发生情况比较,观察组并发症明显少于对照组(P<0.05);组间住院时间、创面愈合时间比较,观察组用时较对照组短(P<0.05).结论:外固定架辅助治疗胫腓骨骨折伴软组织缺损具有安全性、有效性价值,可以促进患者踝关节功能以及生活质量改善.Objective:To analyze the treatment needs of tibiofibula fracture with soft tissue defect, and to evalu-ate the clinical effect of external fixer-assisted treatment. Methods:Patients with tibiofibular fracture with soft tis-sue defect ( n=70 ) diagnosed and treated in the department of Orthopedics of our hospital from January 2019 to Feb-ruary 2020 were selected. On the basis of repairing the defect site with soft tissue flap, the patients were divided into control group ( n=35 ) and observation group ( n=35 ) with internal fixation and external fixation-assisted treatment by random number table method. The results of limb function recovery, complications, ankle joint and quality of life score, hospital stay and wound healing time of tibiofibular fracture with soft tissue defect were compared between the two groups. Results:The scores of ankle pain, function, activity and quality of life in the observation group were higher than those in the control group ( P <0 . 05 ) . There was no significant difference between the observation group and the control group (P>0. 05). The complications of pain and discomfort, limb deformity and wound infection in the observation group were significantly less than those in the control group ( P<0 . 05 ) . The time of hospitalization and wound healing in observation group was shorter than that in control group ( P<0 . 05 ) . Conclusion:External fix-er assisted treatment of tibiofibular fracture with soft tissue defect is safe and effective, and can improve ankle func-tion and quality of life of patients.

关 键 词：外固定架 胫腓骨骨折 软组织缺损 踝关节功能 生活质量 康复效果 术后并发症 

分 类 号：R683.42[医药卫生—骨科学]