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目的 分析骨折复位外固定器治疗胫骨开放复杂性骨折的临床疗效.方法 选取2013年9月-2016年1月北京市红十字会急诊抢救中心收治的56例胫骨开放复杂骨折患者,随机分组,对照组(n=28)采取髓内钉固定疗法,观察组(n=28)给予骨折复位外固定器治疗,对比2组患者临床治疗效果.结果 观察组总有效率为96.4％,对照组总有效率为75.0％,组间疗效差异有统计学意义(P＜0.05);观察组术后并发症发生率(7.1％)低于对照组(21.4％),2组差异有统计学意义(P＜0.05).结论 骨折复位外固定器临床效果显著,能够提高胫骨开放复杂性骨折患者的临床疗效,减少术后并发症.“,”Objective Analysis of fracture reduction and external fixator to treat the clinical curative effect of the complexity of open tibial fractures.Methods The study group was selected in September,2014 to December 2016.56 patients with fracture of lower limb complex,random grouping were included,the control group (n =28) was taken intramedullary nail fixation therapy,and the observation group (n =28) accepted fracture reduction and external fixator treatment,compared with two groups patients with clinical therapeutic effect.Results The observation group total effective rate was 96.4％,the control group total effective rate was 75.0％,the curative effect difference between group significantly (P＜0.05);Observation group incidence of postoperative complications (7.1％) was lower than the control group (21.4％),of them,2 were significantly difference (P＜0.05).Conclusion Clinical effect was remarkable,fracture reduction and external fixator can improve the complexity of open tibial fractures in patients with clinical curative effect,and postoperative complications were reduced.