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目的探讨儿童胫腓骨骨折的治疗方法。方法应用手法复位石膏固定15例,手术切开复位钢板内固定19例。17例儿童开放性胫腓骨骨折行小切口开放复位后,混合式外固定支架外固定。结果本组51例患儿,经6个月至2年随访,均获骨性愈合,无骨感染、骨外露、肢体肿胀、关节僵硬。结论手法复位石膏固定、手术切开复位钢板内固定、小切口开放复位混合式外固定支架外固定治疗儿童开放性胫腓骨骨折疗效确切。
Objective To explore the treatment of tibiofibular fractures in children. Methods 15 cases of gypsum were fixed by manual reduction and 19 cases were treated with open reduction and reduction plate. Seventeen children with open tibiofibular fractures were treated with external fixation of small external fixation after open reduction. Results In this group, 51 children were followed up for 6 months to 2 years. All received bone union, boneless infection, bone exposure, limb swelling and joint stiffness. Conclusion Manual reduction plaster fixation, surgical reduction and reduction plate internal fixation, small incision open reduction combined external fixation with external fixator in children with open tibia and fibula fracture is effective.