摘要: 目的 通过比较3种固定法治疗开放性胫骨骨折的疗效，从而寻找更有效的治疗开放性胫骨 骨折的方法。 方法 将收治的228例分为3组: 分别用扩髓交锁髓内钉(A组)、非扩髓带锁髓内钉(B组)、 分阶段多功能外固定架和石膏外固定(C组)进行治疗，比较疗效。 结果 本组随访4～58个月，术后深部 感染方面无明显差别; 术后患肢延迟愈合及骨不连发生率A、B组较C组明显少; C组的关节活动优良率略 低于A、B组。 结论 两种髓内钉固定法治疗开放性胫骨骨折效果均佳，分阶段多功能外固定架和石膏外固 定次之。

    关键词: 胫骨骨折; 扩髓; 交锁髓内钉; 固定术

    Comparison of three fixation devices for treatment of open fracture of tibia CHENG You-jun，LI Qiang，CAI Hao，et al. (Department of Surgery，Jiaozuo Medical School，Jiaozuo 454001，China)

    Abstract: Objective To seek more effective cure for the open fracture of tibia through studying the value of three fixation devices(interlocking intramedullary nail，multi-stage multifunctional extra-frame and gypsum and non- expanded intramedullary nail) for the open fracture of tibia. M ethods Patients were randomly divided into three groups. The injuries were fixed and treated with interlocking intramedullary nail，multi-stage multifunctional exter- nal-frame and gypsum，and non-expanded intramedullary nail，respectively. The curative effects were compared. Re- sults Patients were followed-up for 4-58 months after operation. There was no obvious difference in deep infection. Number of patients who suffered from postponed bone union and non-union of bone was obviously lower for the exter- nalfixation group ......