Treatment of open tibio-fibula fractures with the intramedullary interlocking nails
- VernacularTitle:交锁髓内钉治疗胫腓骨开放性骨折46例报告
- Author:
Xinchao ZHANG
;
Ji XU
- Publication Type:Journal Article
- Keywords:
Tibio-fibula;
Open fracture;
Intramedullary interlocking n ail
- From:Chinese Journal of Orthopaedic Trauma
2002;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss clinical results of the treatment of op en tibio-fibula fractures with the intramedullary interlocking nails. Methods A group of 46 cases of open tibio-fibula fractures was collected and classified according to Gustilo classification. There were 12 cases of type Ⅰ, 9 cases of type Ⅱ, 16 cases of typeⅢA, 7 cases of type ⅢB, and 2 case of type ⅢC. All o perations were performed in the emergency operation room and all patients were f ixed with intramedullary interlocking nails. Results The follow-up of 8 months to 3 years (with an average of 20 months) showed satisfactory results, though th e local wounds needed skin flap transplantation in 6 cases and muscle flap trans plantation was performed in 1 case. Conclusion Open tibio-fibula fractures of t ype Ⅰ, type Ⅱ and type ⅢA can be treated with emergency debridement and the intramedullary interlocking nails, if the injury duration is short and the vital signs of the patients are stable.
