Ilizarov环形外固定架治疗胫腓骨开放骨折的临床研究

发布时间：2018-05-13 05:20

本文选题：胫腓骨折 + 开放性骨折　；参考：《中国矫形外科杂志》2017年04期

【摘要】：[目的]探讨Ilizarov外固定架治疗胫腓骨开放骨折的安全性与有效性。[方法]选取2013年1月~2014年12月,本院收治的既往78例胫腓骨开放性骨折患者为研究对象,均为单侧肢体骨折,对侧肢体无明显外伤,其中39例应用Ilizarov环形外固定支架固定,39例采用单臂外固定架,患者均随机选取,对比两组的临床疗效、关节功能与并发症发生情况。[结果]环形外固定器组的疗效优良率为89.74%,明显高于单臂外固定器组的69.23%(P0.05);相对于单臂外固定器组,环形外固定器组住院时间以及骨折愈合时间明显缩短(P0.05),术后环形外固定器组的踝关节功能(疼痛、功能、步态与活动度)评分较高(P0.05),并发症发生率较低(P0.05)。[结论]Ilizarov外固定架应用于治疗胫腓骨开放性骨折疗效显著,骨折愈合时间短、并发症较少,值得在临床中推广应用。
[Abstract]:[objective] to evaluate the safety and efficacy of Ilizarov external fixator in the treatment of open tibia and fibula fractures. [methods] from January 2013 to December 2014, 78 patients with open fracture of tibia and fibula were treated in our hospital. 39 cases were treated with Ilizarov ring external fixator and 39 cases were treated with single arm external fixator. The patients were randomly selected to compare the clinical effect, joint function and complications. [results] the excellent and good rate of the ring external fixator group was 89.74, which was significantly higher than that of the single arm external fixator group (69.23 and P 0.05), compared with that of the single arm external fixator group. In the ring external fixator group, the hospitalization time and fracture healing time were significantly shortened (P 0.05). The ankle function (pain, function, gait and activity) in the ring external fixator group was higher than that in the ring external fixator group (P 0.05), and the incidence of complications was lower than that in the ring external fixator group (P 0.05). [conclusion] Ilizarov external fixator is effective in the treatment of open tibia and fibula fracture. It is worth popularizing in clinic because of its short healing time and fewer complications.
【作者单位】：日照市中医医院矫形骨科;国家辅具研究中心附属康复医院;
【分类号】：R687.3

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