[1]曾令法,施水彬,李秀山,等.急诊一期内固定术治疗GustiloⅢB型胫腓骨下段骨折[J].中医正骨,2015,27(04):38-40.
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急诊一期内固定术治疗GustiloⅢB型胫腓骨下段骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年04期
页码:
38-40
栏目:
临床报道
出版日期:
2015-04-30

文章信息/Info

作者:
曾令法施水彬李秀山杨诗飞
湖北省荆州市第一人民医院,湖北 荆州 434007
关键词:
胫骨骨折 腓骨 骨折固定术
摘要:
目的:观察急诊一期内固定术治疗GustiloⅢB型胫腓骨下段骨折的临床疗效和安全性。方法:2009年3月至2013年6月,采用急诊一期内固定术治疗GustiloⅢB型胫腓骨下段骨折患者45例,男43例,女2例。年龄22~62岁,中位数38岁。软组织缺损均位于小腿下段前内侧。受伤至手术时间1~5 h,中位数3 h。随访观察骨折愈合、并发症发生及患肢功能恢复情况。结果:手术时间120~180 min,中位数150 min; 术中出血量500~600 mL,中位数550 mL。43例切口甲级愈合; 1例切口感染,经清创、持续灌注冲洗、负压引流、更换抗生素等治疗后切口愈合; 1例切口处皮肤坏死,经清创、持续换药、VSD敷料覆盖创面、持续负压引流后切口愈合。本组患者均获得随访,随访时间14~28个月,中位数16个月。骨折均愈合,愈合时间4~7个月,中位数5个月。均无内固定物断裂、骨不连等并发症发生。按照Mazur踝关节评分系统评价疗效,优38例、良5例、可2例。结论:采用急诊一期内固定术治疗GustiloⅢB型胫腓骨下段骨折,手术时间短,创伤小,骨折愈合率高,有利于患肢功能的恢复,并发症少,值得临床推广应用。

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备注/Memo

备注/Memo:
2014-11-13收稿 2015-01-16修回
更新日期/Last Update: 2015-04-30