Four emergency fixation methods for multiple trauma patients combined with open tibiofibular fractures: a comparative study
10.3760/cma.j.issn.1001-8050.2011.03.013
- VernacularTitle:几种固定方式急诊治疗多发伤合并胫腓骨开放性骨折的疗效分析
- Author:
Ying TANG
;
Qingshan GUO
;
Yufeng ZHAO
;
Yonghua CHEN
;
Hui CHEN
- Publication Type:Journal Article
- Keywords:
Multiple trauma;
Fracture,open;
Tibia;
Fibula;
Fracture fixation
- From:
Chinese Journal of Trauma
2011;27(3):232-235
- CountryChina
- Language:Chinese
-
Abstract:
Objective To comparethe effects of four different emergency fixation methods for the open tibiofibular fractures on the treatment and prognosis of the multiple trauma patients. Methods A comparative study was carried out on the effect offour different early fixation methods on the fracture and the multiple trauma in aspects of the short-term indicators including mortality rate,acute respiratory distress syndrome(ARDS),fat embolism syndrome(FES),multiple organ dysfunction syndrome (MODS),ICU stay and the long-term indicators including wound healing time,fracture healing time,rate of joint function recovery and fracture complications in 43 multiple trauma patients. Results The locked intramedullary nail wag better than the other fLxation methods including the calcaneal traction,the gypsum external fixation and the internal fixation with steel plate and extemal fixation support in most indexes(P<0.05,0.01). Conclusion The locked intramedullary nail can significantly decrease the incidence rate of complications and obtain sound fracture healing for the patients with multiple trauma combined with open tibiofibular fractures(types Gnstilo Ⅰ,Ⅱ and Ⅲa).
