Treatment of severe tibia syntripsis by overlength fibular transplantation with vascular anastomosis

吻合血管超长腓骨移植治疗胫骨严重 粉碎 性 骨折

Objective To report clinical experience of treatment of severe tibia syntripsis and soft tissue injury by fibular transplantation with vascular anastomosis in 26 cases .

目的报告26例吻合血管的腓骨移植治疗胫骨 粉碎 性 骨折及软组织损伤的临床经验。

Conclusion : Gunshot bone injury often appears as serious syntripsis and periosteum dissection and it can be divided into two areas : the comminution and the shock and the later area has the worse subperiosteal bone injury . 2 .

结论：枪弹伤骨损伤多为 粉碎 程度和骨膜剥离严重的 骨折，其损伤可分为粉碎区和震荡区；震荡区内骨膜下骨质损伤严重。

Conclusions Primary or delayed treatment of open tibia syntripsis by overlength fibular transplantation with vascular anastomosis can help fracture healing and decrease the rate of infection and amputation .

结论吻合血管的超长腓骨移植Ⅰ 期或延期治疗 严重的胫骨开放 性 粉碎 性 骨折，可促进骨愈合，降低感染及截肢率。