External fixation and limited internal fixation of open comminuted fracture of tibia and fibula.docVIP

 PAGE \* MERGEFORMAT 4 External fixation and limited internal fixation of open comminuted fracture of tibia and fibula Of: Wang Songlin, Jiang Zhenhua, Shen jungle, Gu Yuhui [Abstract] analysis of external fixation and limited internal fixation of open fractures of tibia and fibula with the effect of soft tissue injury, and the soft tissue in stage , superiority of repair in order to select an ideal method of treatment. [Keywords:] tibia and fibula fracture; soft tissue defect; fixation High energy injuries caused by multiple fractures of tibia and fibula and soft tissue injury, sometimes with vascular rupture. Our department since June 2001 ~ May 2007 on the tibia and fibula fracture with severe soft tissue injury were treated with external fixation and limited internal fixation summarized below. Clinical data 1 General Information The group of 46 cases, male 31 cases, female 15 cases; aged 16 to 74 years, mean 42 years. 39 cases of road traffic injuries, crush injuries in 7 cases. Fractures according to Gustilo classification [1] are : One a type 31 cases, b in 13 cases, c type 2 patients. with shock in 17 cases, liver and spleen injuries in 8 cases, multiple rib fractures, hemopneumothorax 9; unilateral 44 cases, bilateral in 2 cases; with femoral fractures 9 cases. 2 treatment debridement, fracture reduction and fixation: repeated wash the wound, removal of contaminated soft tissue inactivation; fixed fibula restore leg length; tibial fracture clean-up, reset, the larger the block with Kirschner wire or screw fracture fixation, bone fractures at both ends through 4 to 6 pin, with screw-rod connectors firmly connected, cross-joint is fixed to keep the joint space is normal. soft tissue repair: adjacent transposition flap or pedicle flap repair of local defects in stage ; #8203;#8203;vascular rupture after repair of soft tissue anastomosis coverage. post-processing: necrosis of soft tissue defects or line , debridement, skin graft or