CAJ | 학술논문

目的：探讨Ⅰ期外固定架、Ⅱ期锁定接骨板分期手术治疗胫腓骨开放性骨折的疗效．方法回顾性分析2009年1月至2010年12月济宁医学院收治的GustiloⅢ°开放性胫腓骨骨折36例患者，进行Ⅰ期外架、Ⅱ期锁定接骨板治疗，观察各种愈合率及肢体恢复情况．结果本组36例经6～24个月（平均18月）随访，骨折顺利愈合，平均5.5月．按照Johner-Wruhs评定标准，优24例良10例差2例，优良率94％；患者术后的膝关节活动度均≥100°，应用Merchant的胫腓骨骨折术后评分标准，术后综合评分，优26例，良5例，可4例，差1例；优良率86.1％．结论Ⅰ期外架、Ⅱ期锁定接骨板治疗开放性胫腓骨骨折可明显提高骨折的愈合率及功能恢复.
목적：탐토Ⅰ기외고정가、Ⅱ기쇄정접골판분기수술치료경비골개방성골절적료효．방법회고성분석2009년1월지2010년12월제저의학원수치적GustiloⅢ°개방성경비골골절36례환자，진행Ⅰ기외가、Ⅱ기쇄정접골판치료，관찰각충유합솔급지체회복정황．결과본조36례경6～24개월（평균18월）수방，골절순리유합，평균5.5월．안조Johner-Wruhs평정표준，우24례량10례차2례，우량솔94％；환자술후적슬관절활동도균≥100°，응용Merchant적경비골골절술후평분표준，술후종합평분，우26례，량5례，가4례，차1례；우량솔86.1％．결론Ⅰ기외가、Ⅱ기쇄정접골판치료개방성경비골골절가명현제고골절적유합솔급공능회복.
Objective To investigate the effects of first external fixator and second locking plate fixation in treating open tibiofibular fractures. Methods We retrospectively analyzed the 36 patients with Gustilo'sⅢtype tibia and fibula fractures from Jan. 2009 to Dec. 2010. All the patients were treated with first external fixator and second locking plate fixation,and the curative effect and the extremity function were evaluated.Results All patients were followed-up for 18 months (6 to 24 months) in average,and all the fractures were healed in 5.5 months averagely. According the Johner-Wruhs evaluation standard, excellent was in 24 cases, good was 10 cases,and bad was in 2 cases. The excellent and good rate was 94%. According the Merchant evaluation standard, excellent was in 26 cases,good was in 5 cases,fair was in 4 cases,bad was in 2 cases. The excellent and good rate was 86.1%.The outcome was satisfactory. Conclusion The first external Fixator and second locking plate fixation in treating open tibiofibular fractures can improve the healing rate and the functional recovery.