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目的探讨中西医结合治疗胫腓骨骨折合并骨筋膜室综合征的价值。方法胫腓骨骨折合并骨筋膜室综合征36例患者,采用跟骨牵引或外固定支架、切开彻底减压并联合中西医用药治疗。结果所有骨折均解剖复位或接近解剖复位,无感染、皮瓣坏死等并发症发生,肢体均成活。随访1～2年,经随访所有骨折均骨性愈合,创面愈合良好,膝关节活动范围除1例45°外,其余均>90°,踝关节活动正常。结论胫腓骨骨折合并骨筋膜室综合征,早期诊断,早期切开彻底减压引流,并联合中西医用药,可获得比较满意的疗效。
Objective To investigate the value of integrated traditional Chinese and western medicine in the treatment of tibiofibular fractures combined with compartment syndrome. Methods 36 patients with tibiofibular fractures complicated with compartment syndrome were treated with calcaneus traction or external fixation, and were completely decompressed and treated with Chinese and Western medicine. Results All the fractures were anatomically resected or close to the anatomic reduction. No complications such as infection and necrosis of the flap occurred, and all the limbs survived. All patients were followed up for 1 to 2 years. All the fractures were healed bonyly and the wound healing was good. The range of motion of the knee was more than 90 ° except one case was 45 °. The ankle joint activity was normal. Conclusion Fractures of tibia and fibula combined with compartment syndrome, early diagnosis, early complete decompression and drainage, combined with traditional Chinese and Western medicine, can be more satisfactory results.