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目的探讨以小切口复位克氏针内固定配合单边支架治疗儿童胫腓骨不稳定骨折的可行性及优越性。方法2000年1月～2004年4月采用小切口复位克氏针内固定配合单边双杠支架治疗胫腓骨不稳定骨折患儿67例。结果全部骨折按期愈合,未出现短缩、旋转及明显成角,平均2.6个月拆除支架及内固定。结论小切口复位克氏针内固定配合单边双杆支架治疗,能有效防止儿童胫腓骨不稳定骨折后遗畸形及并发症的发生。
Objective To investigate the feasibility and superiority of small incision Kirschner wire internal fixation combined with unilateral stenting in the treatment of unstable tibiofibular fractures in children. Methods From January 2000 to April 2004, 67 children with unstable fractures of tibia and fibula were treated with small incision Kirschner wire fixation and unilateral parallel bars stent. Results All the fractures were healed on a regular basis. No shortening, rotation and obvious angulation occurred. The average time of stent removal and internal fixation was 2.6 months. Conclusion Small incision Kirschner wire fixation combined with unilateral double-rod stent treatment can effectively prevent the occurrence of complications and complications of unstable tibiofibular fractures in children.