Operative Treatments Of High Energy Gustilo Ⅲ Type Fractures And Its Relative Effecting Factors

Objective:To study 3 kinds of effective operative treatments of high energy Gustiloâ…¢Type Fractures and analyze relative effecting factors. Methods: The authors retrospective analysis of 30 cases clinical material of Gustiloâ…¢Type Fractures induded.legs were treated by microsurgical repair fixation and reducing pressure in the linp.were treated respectively Results by emergency operative reduction(A),delayed open reduction(B) and articulated external fixator reduction(C) .Results: There were 30 cases 32 limbs, according to Anderson Gustilo: typeâ…¢A 8 limbs, typeâ…¢B 18 limbs, typeâ…¢C 6 limbs.Among them, there were shock in 3 cases(9.3 % ), compartment syndrome 4 cases(12.5 % ), vascular anastomosis 5 cases, 4 patients suffered infection, erage followed up was 45 months range,6 to 85 months after the operations.According to Puno criterion, Cellent was found in 8 cases, good 12 cases,fair 5 cases,poor 7 cases, the excellent rate was62.5.2%.Conclusion: The 3 kindsofoperative treatments are effective if operator can select exactly indication and time of operation.Discouraged results of Gustiloâ…¢Type Fractures are significantly related to fracture type, reduction status and time of operation , selection ofoperation indication, reduction and fixation of fibular fracture, and bone grafting etc.Besides, the results aresignificantly affected by the indication, time of operation and especially the severity of soft tissue injury.