高原地区不稳定性胫腓骨骨折的治疗  

The treatment of unstable fractures of tabia and fibula in altiplano

作　　者：雷明全[1] 陈永龙[1] 雷静[1] 李俊[1] 

机构地区：[1]西藏军区总医院骨科,西藏拉萨850003

出　　处：《临床骨科杂志》2003年第2期164-165,共2页Journal of Clinical Orthopaedics

摘　　要：目的　提高治疗高原地区不稳定性胫腓骨骨折的疗效。方法　对高原地区 6 0例不稳定性胫腓骨骨折的治疗进行回顾性研究。根据骨折类型 ,分别采取石膏或外固定架外固定、钢板螺钉或交锁髓内钉内固定等治疗。结果　随访 5 4例 ,时间 9～ 30个月 ,平均 17 6个月。骨折均愈合 ,愈合时间 3～ 6个月 ,平均 4 1个月。开放性骨折术后伤口均一期愈合。 5 4例中 4 9例患肢功能恢复良好 ,5例出现膝关节僵硬。结论　高原地区胫腓骨骨折愈合有其自身的特点 ,特别对于开放性骨折 。Objective To improve the effect of the treatment of unstable fractures of tibia and fibula in altiplano. Methods The outcome of 60 cases of unstable fractures of tibia and fibula in altiplano were analyzed retrospectively. According to the type of the fractures, these cases were treated with plaster, external fixation, plate and screws fixation or intramedullary interlocking nailing, respectively. Results 54 cases were followed up for 9～30 months (17 6 on average). All cases gained bony union. The union time was 3～6 months (4 1 on average). All the open fractures obtained primary wound healing postoperatively. 49 cases of the 54 got good functional recovery, while 5 retained knee stiffness. Conclusion The fracture healing of tibia and fibula in altiplano followed its own characteristics. Especially for open fracture,the time limit for debridement and primary internal fixation is usually longer compared with the time being taken in the plain region.

关 键 词：胫骨骨折 腓骨骨折 高原地区 

分 类 号：R683.42[医药卫生—骨科学]