A' Orthopaedic Department, University of Athens, Athens, Greece.
Injury. 2010 Mar;41(3):253-8. doi: 10.1016/j.injury.2009.09.014.
Management of distal tibia fractures remains challenging. The purpose of this study was to evaluate whether hybrid external fixation, as definite treatment, was associated with satisfactory results and low rate of complications. Between November 1999 and October 2006, 48 patients (33 men and 15 women) with a mean age of 45.6 years and a median ISS of 14.3 were admitted to our department with a distal tibia fracture and treated with the use of a hybrid external fixator. Eight patients had an open fracture. Mean follow-up was 14 months (range, 9-36 months). In 40 patients, radiographic evidence of union was observed at 3.6 months (range, 3-6 months). Delayed union was observed in three patients. There were five non-unions (10.4%) with three of them were septic. When compared to previously reported series, with conventional open reduction and internal fixation, the use of hybrid external fixation with or without open reduction and internal fixation of the fibula, was associated with satisfactory clinical and radiographic results and limited complications.
胫骨远端骨折的治疗仍然具有挑战性。本研究旨在评估作为确定性治疗的混合外固定架是否与满意的结果和低并发症发生率相关。1999 年 11 月至 2006 年 10 月期间，我们科室收治了 48 例胫骨远端骨折患者（33 名男性和 15 名女性），平均年龄为 45.6 岁，ISS 中位数为 14.3。这些患者采用混合外固定架进行治疗，其中 8 例为开放性骨折。平均随访时间为 14 个月（范围为 9-36 个月）。40 例患者在 3.6 个月（范围为 3-6 个月）时出现影像学愈合证据。3 例出现延迟愈合。有 5 例（10.4%）不愈合，其中 3 例为感染性不愈合。与之前报道的采用传统切开复位内固定的系列研究相比，混合外固定架的使用（或不联合切开复位内固定腓骨）与满意的临床和影像学结果以及有限的并发症相关。
