Modified anterolateral incision in the lower tibia and fibula fracture.doc

 PAGE \* MERGEFORMAT 6 Modified anterolateral incision in the lower tibia and fibula fracture Of: Zhang Xuesong, Shihong Chen, Xu Shangwen, Liya Zhou [Keywords:] modified anterolateral incision; tibia and fibula fractures in the lower Tibia and fibula fracture in long bone fracture is a more common, generally a longer period of bone healing, the use of conservative treatment, a long plaster external fixation, knee and ankle joint function must be affected. In addition, due to muscle atrophy and limb weight-bearing and other factors, a fixed displacement of the fracture may occur, and is often associated with closed fractures and compartment syndrome, therefore, with the fixation and the development of materials science, on the unstable fracture of the increasingly open reduction and internal fixation increased. undergraduate from November 2008 -2009 modified on October anterolateral incision in the lower tibia and fibula fractures, good results are as follows. 1 Clinical data 1.1 General information on this group of patients were 13 limbs in 12 cases, were closed fractures, including 9 males and 10 limbs, three limbs and 3 females, aged from 12 to 67 years, mean 34 years old, from injury to operation time was 4h ~ 2 days, the average 16h, fracture of tibia and fibula in the lower part of both fractures. Gustilo type 8 cases of 8 limbs of type , 4 cases of 5 limbs; fracture transverse fracture in 3 cases of type 3 limbs, oblique fracture of 4 cases of 4 limbs, 6 limb fracture in 5 cases. Gustilo type and severe multi-segment fracture cases not included in this group. 8 limbs of which 7 were associated with lower leg compartment syndrome, limb numbness, poor blood supply, toe passive range of motion when the pain was, the application of anterior tibial Whiteside method to measure the pressure between the area 25 ~ 40mmHg, average of 33mmHg. There were 2 2 limb fracture combined anterior tibial artery, two-way Doppler application limbs dorsal arte