【摘要】 目的 :明确不同手术固定方式在胫骨不同骨折类型固定中的优缺点。方法 :通过对行单侧外固定支架(UADF)、Grosse -Kempf钉、TCP三种不同器械固定的 14 5例病人的骨折情况、手术资料及疗效行统计对比。结果 :三者住院时间、骨愈合时间、关节功能无明显差异 (P >0 .0 5 ) ;手术时间、输血量及弃拐下地时间有差异 (P <0 .0 5 )。GK钉组切口感染率及固定失效率均低。结论 :UADF最适用于严重开放性骨折 ,但稳定性差 ;TCP可应用于各部位骨折 ,尤其是靠近关节的骨折 ,但感染率、不愈合率及取钢板后再骨折率高 ;GK钉固定病人恢复快 ,并发症少 ,骨折愈合率高 ;最适合用于节段性及陈旧性骨折更多还原

【Abstract】 Objective:To clear the virtues and defects of different fixation styles in tibial fractures.Methods:One hundred and forty-five tibial fracture cases were fixed differently by unilateral external fixture(GD trestle),Grosse-Kempf nail and trapezoid compression plate(TCP).Then contrasted the difference of their fracture condition,operation data and curative effect.Result:No significant difference were found in terms of hospitalized time,bone healing time and joint function( P >0.05).While differences were found in terms of operation time,intraoperative blood transfusions and weight bearing time( P <0.05).In the group of GK nail,both of the incision infection rate and inefficient rate after fixation were lower.Conclusion:GD trestle is the best fixing style for open fracture, but its stability is worse.TCP fits for the fracture of various parts,especially the fracture near joint.But there is higher rate of infection,non-union and refracture in TCP.GK nail should be the first treatment of malunion fracture or old fracture.更多还原