External Fixator And Ao Plate Fixation For The Treatment Of Tibia And Fibula Open Fractures Compared

ObjectTo find an ideal fixation to the open fracture of tibia and fibula through studying the effect with external fixation apparatus and AO plate respectively.Methods104 cases inpatients with open fracture of tibia and fibula were collected .50 cases were treated by external fixation apparatus; 54 cases were treated by AO plate. They were divided into three type, namely Ⅰ,Ⅱ,Ⅲ. Statistic test was used to the average healing time of bone fracture, infectious rate of bone fracture , delayed healing and unhealing rate.ResultsAll the patients were followed up from 8 to 15months. In Ⅰ type fracture , the average healing time of bone fracture of A team was 14. 5 weeks,B team was 13. 1 weeks, infectious rate of bone fracture were all 0, the delayed healing and unhealing rate of A team was 0, B team was 4. 76%; In Ⅱ type fracture , the average healing time of bone fracture of A team was 18. 7 weeks,B team was 20. 3weeks. infectious rate of bone fracture were of A team was 7.14%,B team was 7.69%, the delayed healing and unheal ing rate of A team was 7. 14%, B team was 7. 69%; In Ⅲ type fracture , the average healing time of bone fracture of A team was 26.6 weeks, B team was 32.5 weeks. Infectious rate of bone fracture of A team was 11.1%, B team was 30%. The delayed healing and unhealing rate of A team was 16.67%, B team was 35%;Conclusion　For Ⅰ ,Ⅱ type of open fracture , AO plate is a good fixed way .But external fixation apparatus was a prior choice to Ⅲ type of open fracture of tibia and fibula .especially to those with serious soft issue damage , serious inflammation, serious smashing fracture.