摘要
Objective: To evaluate the clinical efficacy of bone traction combined with small splint external fixation in treating tibiofibular fractures. Methods: 378 patients with tibiofibular fractures who were treated in the Department of Orthopedics of our hospital from January 2019 to January 2023 were selected as study subjects. According to the specific conditions of the patients and the indications for surgery, they were divided into the observation group (bone traction combined with small splint external fixation) and the control group (conventional plaster fixation), with 189 cases in each group. Both groups of patients immobilized the affected limb as instructed by their doctors and were treated with oral anti-inflammatory and pain-relieving medications. The healing of the fractures was monitored using imaging techniques such as X-rays, computed tomography scans, and magnetic resonance imaging, while postoperative complications were also recorded. Results: The incidence rate of non-healing in the control group (7.41%) was significantly higher than that in the observation group (1.06%) (P < 0.05); the complications in the observation group were mainly three cases of limb deformity, three cases of pressure sores, and four cases of skin necrosis, with a total of 10 cases and an incidence rate of 5.29%; while in the control group, there were three cases of fracture nonunion, nine cases of skin necrosis, seven cases of pressure sores, and three cases of limb deformity, with a total of 22 cases and an incidence rate of 5.29%, the difference between the two groups was statistically significant (χ2 = 4.916, P = 0.027). Conclusion: Bone traction combined with small splint external fixation has shown remarkable efficacy in the treatment of tibiofibular fractures, which can not only quickly stabilize the fracture end, reduce pain, and promote fracture healing, but also reduce the occurrence of complications and shorten the treatment period.
参考
Song JW, Ma YB, Lu XM, et al., 2023, Tibiofibular Fracture Fixation with Intramedullary Nail Plate Assisted by Lateral Flexion Knee Retractor. Chinese Journal of Orthopaedic Surgery, 31(14): 1323–1326.
Ming Z, Ming X, Ming X, et al., 2022, Application of Homemade Traction Reducer in Ilizarov Ring External Fixation Frame Fixation for Tibiofibular Fracture. Chinese Journal of Bone and Joint Injuries, 37(08): 857–859.
Xie X, Luo A, Huang C, et al., 2021, Analysis of the Effect of Locked Intramedullary Nail Fixation, Plate Screw Fixation and Heel Traction with Splint Fixation in the Treatment of Patients with Multiple Injuries Combined with Open Tibiofibular Fracture. Journal of Medicine of the People’s Liberation Army, 33(07): 46–49 + 62.
Fu Z, Chen Z, 2021, Effect of Preoperative Heel Distraction Fixation on Operative Time and Quality of Reduction in Patients with Distal Tibiofibular Fractures with Percutaneous Locking Plate Internal Fixation. Chinese and Foreign Medicine Research, 19(17): 164–167.
Gao H, 2021, Effects of Heel Traction-Assisted Percutaneous Locking Plate Internal Fixation on Foot and Ankle Function, Surgical Indexes and Complications in Patients with Distal Tibiofibular Fractures. Medical Theory and Practice, 34(01): 81–83.
Ding X, 2020, Effect of Heel Traction-Assisted Percutaneous Locking Plate Internal Fixation on Foot and Ankle Function in Patients with Distal Tibiofibular Fractures. Contemporary Medicine, 26(33): 55–57.
Tan L, Zhao W, Xie Y, 2020, Analysis of the Effect of Preoperative Heel Traction Applied to Percutaneous Locking Plate Internal Fixation in the Treatment of Distal Tibiofibular Fracture. Baiqiu’en Medical Journal, 18(04): 344–346.
Chen L, Zhang F, Xu B, 2020, Effect of Heel Traction Combined with Internal Fixation on Ankle Function in Patients with Distal Tibiofibular Fractures. Huaihai Medicine, 38(04): 341–343.
Wang Y, Yang S, Tian R, et al., 2020, Application of Homemade PVC Pipe Bilateral Parallel Traction Device in Patients with Tibiofibular Fracture. Qilu Nursing Journal, 26(08): 54–55.
Shen JJ, Wang ZX, Chen ZW, et al., 2019, Clinical Efficacy Observation of Longzhong Swelling-Eliminating and Pain-Relieving Combination Combined with Bone Traction in the Treatment of Tibiofibular Fracture Combined with Osteofascial Intercompartmental Syndrome. Gansu Science and Technology, 35(19): 84 + 153–155.