Orthopaedics Kavery Medical Centre and Hospitals, No 1, K C Road, Tennur, Trichy 17, Tamilnadu, India.
Injury. 2009 Mar;40(3):327-32. doi: 10.1016/j.injury.2008.07.014.
One hundred seventy-six patients with 179 tibial shaft fractures (between March 2003 and August 2007) with a minimum of 4 months follow up were retrospectively reviewed by the author. Twenty-nine of these fractures were found to have segmental fibular fractures. These 29 fractures were analysed and compared with the total of 179 tibial fractures. Segmental tibial fractures with and without segmental tibial comminution were also analysed and compared. The segmental fibular fracture group had a greater incidence of associated injuries, associated fractures, open tibial fractures, Gustilo III B type fractures, major flap procedures, bony infection and bone grafting procedures which was statistically significant. The coincidence of segmental fibular fractures and segmental tibial fracture with segmental comminution indicated a bad prognosis. Segmental fibular fracture (associated with tibial fracture) appear more severe injury than segmental tibial fracture.
作者回顾性分析了 2003 年 3 月至 2007 年 8 月期间 176 例 179 处胫骨骨干骨折（随访时间至少 4 个月）患者的临床资料。其中 29 例患者合并有腓骨节段性骨折。作者对这 29 例骨折进行了分析，并与 179 例胫骨骨折进行了比较。同时对合并胫骨节段粉碎性骨折与未合并胫骨节段粉碎性骨折的病例进行了比较。结果显示，合并腓骨节段性骨折的患者发生合并损伤、合并骨折、开放性胫骨骨折、Gustilo III B 型骨折、大皮瓣手术、骨感染和植骨手术的概率更高，差异具有统计学意义。腓骨节段性骨折与胫骨节段粉碎性骨折的同时存在提示预后较差。与胫骨节段骨折相比，合并腓骨节段性骨折（伴或不伴胫骨骨折）的患者损伤更为严重。
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