PDF(Pubmed)
Abstract：
Transarticular external fixation is primarily used for open fractures involving the joint. However, its biggest drawback is the potential forjoint dysfunction. The article reports a successful case with complex open tibial plateau fracture treated using locked plate external fixation technique during bone callus formation stage to replace transarticular external fixation. We present a case of a 55-year-old male who sustained a complex open fracture of the tibial plateau. In addition, he also suffered from multiple rib fractures, a fibula fracture, a clavicle fracture, hemorrhagic shock, and lung contusion. The patient has occurred tibial bone infection after undergoing open reduction and transarticular external fixation for fracture management. Our team skillfully applied locked plate external fixation technique during bone callus formation stage to replace transarticular external fixation. Ultimately, the approach not only successfully controls infection and achieves fracture healing but also preserves knee joint function after five years of follow-up. In conclusion,the application of locked plate external fixation technique during bone callus formation stage to replace transarticular external fixation is a valuable approach that orthopedic clinicians should consider and learn from when managing complex intra-articular fractures.
摘要：
经关节外固定主要用于涉及关节的开放性骨折。然而,其最大的缺点是潜在的关节功能障碍。本文报道了1例复杂开放性胫骨平台骨折在骨痂形成阶段采用锁定钢板外固定技术替代经关节外固定的成功病例。我们介绍了一例55岁的男性，他患有复杂的胫骨平台开放性骨折。此外,他还患有多处肋骨骨折，腓骨骨折,锁骨骨折,出血性休克,还有肺挫伤.患者经切开复位经关节外固定治疗骨折后发生胫骨感染。我们的团队在骨痂形成阶段熟练应用锁定钢板外固定技术来替代经关节外固定。最终,该方法不仅成功地控制了感染并实现了骨折愈合，而且在5年的随访后保留了膝关节功能。总之,在骨痂形成阶段应用锁定钢板外固定技术替代经关节外固定是骨科临床医师在处理复杂关节内骨折时应考虑和借鉴的有价值的方法.
