Souna B S, Ganda S, Amadou S, Abdoulaye A
BS service de Traumatologie-orthopédie Hôpital national de Lamordé Niamey, Niger.
Mali Med. 2008;23(3):11-5.
The authors present the results of a retrospective study performed during 12 months; about 50 open fractures of tibia, treated by Hoffmann external fixation entirely or partially. The mean age was 33 years (6 years to 60 years). Forty (80%) patients had sustained the fracture in road traffic. According to Cauchoix system: 30 (60%) tibia open fracture was type I, 8 (16%) type II, and type III 12 (24%). 20 patients treated by external fixation following by internal fixation (plate), 10 patients treated by external fixation following by cast; 20 patients treated by external fixation only. The mean bone healing time was 7.5 month
infections 6%, non-union 5 patients. Hoffmann external fixation is an excellent and safe method for the management of tibial open fractures.
作者展示了一项为期12个月的回顾性研究结果；约50例胫骨开放性骨折，全部或部分采用霍夫曼外固定治疗。平均年龄为33岁（6岁至60岁）。40例（80%）患者在道路交通事故中发生骨折。根据考乔伊系统：30例（60%）胫骨开放性骨折为I型，8例（16%）为II型，12例（24%）为III型。20例患者先采用外固定后行内固定（钢板），10例患者先采用外固定后行石膏固定；20例患者仅采用外固定治疗。平均骨愈合时间为7.5个月。
感染率为6%，5例骨不连。霍夫曼外固定是治疗胫骨开放性骨折的一种优秀且安全的方法。
