外固定架终极治疗成年人胫骨干闭合性骨折的临床研究

doi:10.19739/j.cnki.issn1001-9510.2020.01.004

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Abstract Objective To investigate the clinical effect of external fixator in the treatment of adult tibial shaft closed fracture. Methods Forty-seven adult patients with tibial shaft closed fracture were treated with external fixator. An external fixation framework was designed according to the type of fracture before surgery, and an external fixation frame was installed after the intraoperative X-ray fluoroscopy machine confirmed the closed reduction fracture was satisfactory. Nursing of nail track was strengthened after operation to prevent infection and all patients were followed up at regular intervals. According to the condition of bone healing mineralization shown in X-ray films, components of the frame were gradually dismantled to total remove of the frame in regular intervals. Results Forty-seven patients were followed up 12 to 36 months, with an average of (19.96±1.42) months. Forty-five cases of 47 patients healed normally and 2 patients had nonunion, with the healing rate 95.74%. The fracture healing time was from 4 to 14 months, with an average of (5.63±0.78) months. One case of nonunion healed smoothly after replacing plate and bone grafting, and the other one healed smoothly after Bone transport technique with ring external fixator. Three patients with mild pin-tract infection were cured after debridement and changing dressing associated with antibiotics. There were no impacts on the knee and ankle function in all patients. Conclusion External fixator is the ultimate treatment for closed fracture of tibial shaft in adults with satisfactory clinical efficacy. The appropriate external fixator can provide stable and reliable fixation strength for fracture healing, and can adjust the fixation strength according to the bone healing situation to improve stress shielding and avoid secondary surgical treatment, which has certain clinical application value.

Key words： external fixator tibial shaft fracture closed fracture therapeutic effect adult

Received: 31 October 2019

PACS:

R687.3

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	Articles by authors
	WANG Chuanjin
	LI Peng
	YANG Shuye
	ZHANG Kai

Cite this article:

WANG Chuanjin,LI Peng,YANG Shuye, et al. Clinical research on the ultimate treatment of adult tibial shaft closed fracture with external fixator[J]. 滨州医学院学报, 2020, 43(1): 15-18.

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http://manu58.magtech.com.cn/Jwk_bzyxy/EN/10.19739/j.cnki.issn1001-9510.2020.01.004 OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2020/V43/I1/15

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