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Clinical manifestations and treatment of fractures of the femoral neck, shaft of the femur, tibiofibula, patella and ankle.

股骨颈骨折,股骨干骨折,胫腓骨骨折,髌骨骨折,踝部骨折的临床表现和治疗。

For tibiofibula fracture, should think that the incision pair.

对于胫腓骨中下段双骨折,应考虑切开复位。

The first 5 categories of the injuries were tibiofibula fracture(158 cases,13.37%),pelvis fracture(122 cases,10.32%),vertebral column fracture(120 cases,9.98%),femoral fracture(109 cases,9.22%),and forearm fracture/ disjointure(106 cases,8.97%).

疾病构成前5位为:胫腓骨骨折158 例(13.37%),骨盆骨折122 例(10.32%),脊柱骨折120 例(10.15%),股骨骨折109 例(9.22%),前臂骨折/脱位106 例(8.97%)。

The agglutination rate is 100%. Conclusion It is an effective way to cure complicated tibiofibula fracture with the toroid clamp stand which does not affect the disposal of surrounded soft tissues.

环形式外固定支架具有稳定骨折,不影响软组织的外科处理,骨折局部血供恢复快,相邻关节功能恢复好,是治疗复杂胫腓骨骨折的有效方法。

objective to study the clinical features and law of injuries in sichuan earthquake-stricken area.methods register details of the patients,count and analyses the external factors and clinical features of injuries with the international classification of diseases-10(icd-10).results the main external factors of injuries were "hit by object" and "squeezed by object".the first 5 categories of the injuries were tibiofibula fracture(158 cases,13.37%),pelvis fracture(122 cases,10.32%),vertebral column fracture(120 cases,9.98%),femoral fracture(109 cases,9.22%),and forearm fracture/ disjointure(106 cases,8.97%).conclusion it's important to study the clinical features and injuries in earthquake-stricken area,for unseeing and distributing medical resource rationally.

目的 研究四川汶川地震所致伤员的伤情特点和规律。方法对我院收治患者进行登记,采用国际疾病分类方法(icd-10)统计、分析其损伤的外部因素、疾病分类及构成情况。结果本组患者主要损伤外部原因为被物体击中和被物体挤压。疾病构成前5位为:胫腓骨骨折158 例(13.37%),骨盆骨折122 例(10.32%),脊柱骨折120 例(10.15%),股骨骨折109 例(9.22%),前臂骨折/脱位106 例(8.97%)。结论深入研究地震所致伤员的伤情特点,对合理使用、调配医疗资源,更好地为灾民提供医疗服务有重要的指导意义。

MethodDebridement and closed type lavage,drainage for Ⅲ degree open fracture in tibiofibula during 2006~2008 were reviewed,early suture of wound,fracture fixation and lavage with tube.

回顾2006~2008年间,采用骨折清创、置管冲洗治疗Ⅲ度胫腓骨开放性骨折,早期缝合伤口,骨折固定,置管冲洗。

TREATMENT OF DISTAL TIBIOFIBULA BURST FRACTURE WITH ORTHOFIX EXTERNAL FIXATORS LIU FUQUAN(Department of Orthopedics, Beijing Pinggu District Hospital, Beijing 101200, China); Objective To observe the effect of Orthofix external fixators on burst fracture of distal tibiofibula.

作者:刘福全作者单位:(北京市平谷区医院骨科,北京 101200)目的探讨胫腓骨下段粉碎骨折的治疗方法及效果。

Debridement and closed type lavage, drainage for Ⅲ degree open fracture in tibiofibula during 2006~2008 were reviewed, early suture of wound, fracture fixation and lavage with tube.

回顾2006~2008年间,采用骨折清创、置管冲洗治疗Ⅲ度胫腓骨开放性骨折,早期缝合伤口,骨折固定,置管冲洗。

ConclusionThe efficacy of open fracture in middle and distal segment of tibiofibula from excellent to bad is support outside the fixation which is the first choice, internal fixes of steel plate bolt, calcaneus tows coordinating splint or "U" outside the gypsum fixing, while internal fixation of interlocking bone nail is the relative ontraindication.

腓骨中下段开放性骨折的治疗以支架外固定法为首选,钢板螺钉内固定为次,而跟骨牵引配合夹板或"U"型石膏外固定又次之,交锁髓内钉内固定则为相对禁忌。

Early application of MEBO, after wound debridement and trephination is very efficacious in treating bone exposure due to tibiofibular fracture. It is easy to apply and worthy to be popularized.

早期清创钻孔引髓应用湿润烧伤膏是治疗胫腓骨骨折术后骨外露的一种良好方法,值得推广。

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