Kaushal Mohinder, Chhabra M S, Sen R C
P.G. Trainee Orthopaedics, Command Hospital (WC), Chandimandir-134107.
Senior Advisor Surgery & Orthopaedics, Command Hospital (WC), Chandimandir-134107.
Med J Armed Forces India. 1998 Oct;54(4):319-321. doi: 10.1016/S0377-1237(17)30594-4. Epub 2017 Jun 26.
A group of 30 patients of unstable tibial diaphyseal fractures were managed using unilateral tubular external fixator. The fixator assembly comprised a double stainless steel hollow rod with universal joints and schanz screws as principal implant. Reduction and controlled distraction or compression were achieved by means of distracter/compressor device. Early dynamization was resorted to. The union rate was 100% with average healing time between 20 weeks for closed unstable fractures and 27 weeks for open Gustilo grade-II fractures. Minor pin tract infections accounted for majority of the complications. The unilateral fixator assembly permits early ambulation in unstable tibial diaphyseal fractures without sacrificing a sound anatomical result.
一组30例不稳定型胫骨干骨折患者采用单侧管型外固定器治疗。固定器组件包括一根带有万向节和斯氏针的双不锈钢空心杆作为主要植入物。通过撑开器/加压装置实现复位和控制性撑开或加压。采用早期动力化。愈合率为100%，闭合性不稳定骨折的平均愈合时间为20周，开放性 Gustilo II级骨折为27周。轻微的针道感染是并发症的主要原因。单侧固定器组件允许不稳定型胫骨干骨折患者早期行走，且不影响良好的解剖学效果。
