An Observation of Curative Effect of Treating Tibia Fracture Accompanied by Pretibial Dermatonecrotion by Using Mi-croincision Reconvert and Single-arm External Fixed Frame
ZHAO Junjian, ZHANG Peishen,WANG Yijing, et al. Department of Surgery, Tangshan Hospital of Hebei General Brigade Chinese People s Armed Police Forces, Tangshan 063004
Objective:To Probe into the curative effect of treating tibia fracture accompanied by pretibial dematonecrotion by using microincision reconvert and external fixed frame. Methods: The situations of protibial dermatonecrotion in 43 cases of tibia fracture were analysed and the operation time and therapy were selected. Results:Through follow up for two months to one year it is found that the pretibial skin healed completely,the broken bones grew together well,the joints function recovered well and there were no skin infections and bone exposure.Conclusion: The way that using microincision reconvert and external fixed frame to treat tibia fracture accompanied by pretibial dermatonecrotion has the following advantages: It may significantly reduce the delay in operation time because of the skin s poor conditions. Microincision may reduce the periost union. The patients joints can move more early that may reduce the degeneration as a result of lying in bed for a long time. It could reduce the chances of reoperation which bring patients sufferings and economic burden.So it may be considered that this treatment way is the first choice to treat tibia fracture accompanied by pretibial dermatonecrotion.