CAJ | 학술논문

目的探讨外固定架加腓骨钢板治疗伴有胫骨骨缺损的开放性胫腓骨骨折的临床疗效和可行性. 方法选择2005年9月-2011年3月收治伴有胫骨骨缺损的开放性胫腓骨骨折患者21例(GastiloⅢA型15例,GastiloⅢB型5例,GastiloⅢC型1例),所有患者胫骨骨缺损长度为2～6 cm.Ⅰ期行胫骨外固定架以及腓骨钢板固定,Ⅱ期骨缺损处行髂骨植骨. 结果随访时间为8 ～ 24个月[14.0±10.5)个月],骨缺损均得以重建,患者肢体的长度与健侧之差均＜2 cm,无一例出现马蹄内翻足. 结论外固定架加钢板是一种治疗伴有胫骨骨缺损的开放性胫腓骨骨折的有效方法,开放性胫腓骨骨折合并胫骨骨缺损在6 cm以内的患者肢体功能及长度均得以重建.
목적 탐토외고정가가비골강판치료반유경골골결손적개방성경비골골절적림상료효화가행성. 방법 선택2005년9월-2011년3월수치반유경골골결손적개방성경비골골절환자21례(GastiloⅢA형15례,GastiloⅢB형5례,GastiloⅢC형1례),소유환자경골골결손장도위2～6 cm.Ⅰ기행경골외고정가이급비골강판고정,Ⅱ기골결손처행가골식골. 결과 수방시간위8 ～ 24개월[14.0±10.5)개월],골결손균득이중건,환자지체적장도여건측지차균＜2 cm,무일례출현마제내번족. 결론 외고정가가강판시일충치료반유경골골결손적개방성경비골골절적유효방법,개방성경비골골절합병경골골결손재6 cm이내적환자지체공능급장도균득이중건.
Objective To investigate feasibility and effect of external fixator plus steel plate in treatment of open tibiofibular fractures combined with tibial defect.Methods The study involved 21 patients with open fractures of tibia and fibula (15 patients with type Gastilo ⅢA,five with type Gastilo ⅢB and one with type Gastilo ⅢC) with concurrent tibial defect of 2-6 cm.External fixator plus fibular steel plate was performed at the first stage,followed by iliac bone grafting for bone defect at the second stage.Results All patients showed successful reconstruction of the tibial defects with length difference between affected and healthy extremities less than 2 cm in follow-up for (14.0 ± 10.5) months (range,8-24 months).Meanwhile,no talipes equinovarus existed.Conclusions External fixator plus steel plate is an effective method for treating open tibiofibular fractures combined with tibial defect.The length and function of the extremities of patients with open tibiofibular fractures combined with tibial defect of less than 6 cm can be successfully restored.