Has B, Jovanović S, Zorić Z, Tokalić M, Kopić Z
Klinika za kirurgiju, Klinicka bolnica Osijek.
Lijec Vjesn. 1996 Mar-Apr;118(3-4):57-9.
Unstable lower limb fractures are undoubtedly indications for operative treatment by external or internal stabilization method. In this paper we discuss our experience in healing of 413 patients with unstable calf fractures, operatively treated in the period from 1990-1994. Internal stabilization method was applied, strictly respecting indications, in 375 patients (90.8%), while 38 of them (9.2%) were treated by external fixation method (external fixator Zagreb 1 or set 63305-00). Lower limb osteitis was diagnosed in 36 patients (9.6%), when internal fixation method was used, while osteitis on the fracture site, after external fixator application, was found in 2 patients (5.3%). According to their experience, the authors suggest the employment of external fixators for the healing of open and unstable calf fractures of the second and the third degree.
不稳定的下肢骨折无疑是采用外固定或内固定方法进行手术治疗的适应症。在本文中，我们讨论了1990年至1994年期间对413例不稳定小腿骨折患者进行手术治疗后的愈合经验。375例患者（90.8%）采用了内固定方法，严格遵循适应症，而其中38例（9.2%）采用了外固定方法（萨格勒布1型外固定器或63305 - 00套件）。采用内固定方法时，36例患者（9.6%）被诊断为下肢骨炎，而应用外固定器后，在2例患者（5.3%）的骨折部位发现了骨炎。根据他们的经验，作者建议使用外固定器来治疗二度和三度开放性及不稳定小腿骨折。
