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目的评价切开复位治疗儿童开放性胫腓骨中下段骨折的疗效。方法采用切开复位治疗儿童开放性胫腓骨中下段骨折15例。结果随访9个月~2年4个月,平均1.03年。Ⅱ型12例,Ⅲ型3例,骨折均达坚强愈合,肢体、关节功能恢复满意。结论儿童开放性胫腓骨中下段骨折,采取手术、选用简单不同内固定,经预防感染,皮瓣移植、植皮、术后畅通引流、功能锻炼,将对骨折的愈合起关键作用。
Objective To evaluate the curative effect of open reduction on open fractures of middle and distal tibiofibula in children. Methods Open reduction in children with open fractures of the middle and distal tibiofibrosis in 15 cases. The results were followed up for 9 months to 2 years and 4 months, an average of 1.03 years. 12 cases of type Ⅱ, 3 cases of type Ⅲ, the fractures reached a strong healing, limbs, joint function recovery satisfactory. Conclusions Children with open fractures of the middle and distal tibiofibular fractures are treated with simple and different internal fixation. The prevention and treatment of infection, flap transplantation, skin grafting, postoperative unblocking and functional exercise will play a key role in the healing of fractures.