Locking plate external fixator for the treatment of middle and distal tibial fractures
10.3969/j.issn.1003-0034.2014.06.004
- VernacularTitle:锁定钢板外固定治疗胫骨中下段骨折
- Author:
Feng Zheng MEI
1
;
Wu Shun FAN
;
Dong Feng ZHAO
;
Yan Chong WANG
;
Hui Jun LIU
;
Zhi SHAN
Author Information
1. 浙江大学医学院附属邵逸夫医院骨科
- Keywords:
Tibial fractures;
External fixators;
Surgical procedure,operative
- From:
China Journal of Orthopaedics and Traumatology
2014;(6):458-460
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness of locking plate external fixator in treating middle and distal tibial fractures. Methods:From January 2010 to January 2013,18 patients suffered from middle and distal tibial fractures were treated by locking plate external fixator,including 11 males and 7 females,with an average age of 53.5 (ranged from 13 to 80) years old,the course of disease ranged from 2 h to 3 d. According to AO classification,4 cases were type A,11 cases were type B and 3 were type C. Among them,6 patients were open fracture,including 2 cases with typeⅠ,3 cases with typeⅡand 1 case with typeⅢ,according to Gustilo classification),12 patients were close fracture.Operation time,postoperative complications were observed,and Johner Wruhs scoring were used to evaluate clinical outcomes. Results:All patients were followed up from 6 to 15(meaned 11) months. Two cases occurred skin necrosis (1 case occurred bone exposure),2 cases occurred delayed u-nion(all were open fracture),and 1 case occurred nail infection. No screw loosening or broken occurred. According to Johner Wruhs scoring,10 cases obtained excellent result,6 cases good,and 2 cases fine. Conclusion:Locking plate external fixator for the treatment of middle and distal tibial fractures,which has advantages of lessen damage, shorter operative time,less com-plications and rapid functional recovery ,is one of good choice.
