[1]何丽波,刘勇,彭超.高原地区有限切开复位内固定治疗胫腓骨骨折疗效分析[J].医学信息,2018,31(01):8-9，12.[doi:10.3969/j.issn.1006-1959.2018.01.003]
　HE Li-bi,LIU Yong,PENG Chao.Treatment of Tibiofibular Fractures by Limited Open Incison and Internal Fixation inPlateau[J].Medical Information,2018,31(01):8-9，12.[doi:10.3969/j.issn.1006-1959.2018.01.003]
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高原地区有限切开复位内固定治疗胫腓骨骨折疗效分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年01期
页码:
8-9，12
栏目:
出版日期:
2018-01-01

文章信息/Info

Title:
Treatment of Tibiofibular Fractures by Limited Open Incison and Internal Fixation inPlateau
文章编号:
1006-1959（2018）01-0008-03
作者:
何丽波1; 2; 刘勇2; 彭超2
1.西藏大学医学,西藏拉萨8500002.西藏自治区人民医,西藏拉萨850000
Author(s):
HE Li-bi1; 2; LIU Yong2; PENG Chao2
1.Medical School of Tibet University,Lhasa 850000,Tibet,China;2.People’s Hospital of Tibet Autonomous Region,Lhasa 850000,Tibet,China
关键词:
闭合; 有限切开; 内固定; 胫腓骨骨折
Keywords:
Key words：Closed; Limited incision; Internal fixation; Tibia and fibula fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2018.01.003
文献标志码:
A
摘要:
目的比较闭合与有限切开复位内固定治疗胫腓骨骨折的临床疗效,对比患者骨愈合时间及术后并发症情况遥方法回顾我骨科在2014 年2 月~2016 年6 月诊治60 例胫腓骨骨折患者的临床资料,根据治疗方式分为两组,A 组闭合复位内固定,B 组有限切复位内固定,对比两组的手术时间尧术中出血量尧骨折愈合时间尧术后并发症情况,并采用Johner-Wruhs 评分标准对末次随访时关节功能进行评价遥结果两组患者均获得随访,A 组手术时间及术中出血量较B 组少（约0.05）,B 组骨折愈合时间短于A 组（约0.05）遥两组术后疗效Johner-Wruhs评分优良率差异无统计学意义（跃0.05）遥A 组患者骨折延迟愈合发生率和B 组比较有统计学差异（约0.05）,两组均未出现皮肤感染等情况遥结论有限切开没有加重断端血运毁损,且骨折面得到了很好的复位,有利于骨折愈合,且术后并发症并没有增加,适合高原特殊地区应用遥
Abstract:
Abstract：Objective To compare the clinical curative effect of closed and limited open incison and internal fixation for the treatmentof tibiofibular fractures and to compare the time of bone union and postoperative complications.Methods Retrospectively analyzed theclinical data of 60 patients with tibiofibular fractures who were diagnosed and treated in orthopedics department from February 2014to June 2016.The patients were divided into two groups according to the mode of treatment.Group A received closed reduction andinternal fixation while group B received limited reduction and internal fixation.The operation time,intraoperative blood loss,fracturehealing time and postoperative complications were compared between two groups. The Johner-Wruhs score was used to evaluate thejoint function at the final follow-up.Results Both groups were followed up.The operation time and blood loss in group A were lessthan those in group B( <0.05).The fracture healing time in group B was shorter than that in group A( <0.05).There was no significantdifference between the two groups in the Johner-Wruhs score ( >0.05).The incidence of delayed union of fractures in group A wassignificantly higher than that in group B ( <0.05).No skin infections were observed in both groups.Conclusion The limited incisiondid not aggravate the damage of the blood supply to the stump,and the fracture surface was well reset,which is good for the fracturehealing,and the postoperative complications did not increase,which is suitable for the special plateau application.

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更新日期/Last Update: 2018-01-22