Clinical Observation on the Curative Effect of Ankle Traction Combined with Splint Fixation in the Treatment of Unstable Tibiofibular Fracture

KONG Ling-shan

doi:10.14033/j.cnki.cfmr.2016.26.011

Abstract：Objective:To observe the curative effect of ankle traction combined with splint fixation in the treatment of unstable tibiofibular fracture. Method:Fifty patients with unstable tibiofibular fracture admitted to our hospital were selected as the objects and were given manual reduction with the help ofpulling the confrontation along the long axis of tibia by two assistants,when satisfied with the counterpoint to the the line,the front,back,inner and outer splint and pad were set based on clinical examination,the anklet traction which weighted 2-5 kg was placed at the ankle joint,maintaining a neutral position of the lower limbs,the postoperative bedside X-ray photos were shot to review the situation of counterpoint to line of fracture ends,the splints,pressure pad or traction weight were adjusted to the ideal reduction if necessary.At the same time,in the early,middle and late phase of recovery period,the patients were given Chinese medicine oral administration and external cleansing.Result:In the 50 patients,16 cases reached the anatomic reduction after treatment,27 patients were close to anatomic reduction,7 cases were functional counterpoint.The healing time was shortest for 41 days,longest for 82 days,averaged at (53.6±1.3)days,without delay,nonunion,or slope type,the activities of patients’ ankle and knee joints were basically normal.Conclusion:Anklet traction combined with splint external fixation can avoid the re-displacement of tibial fracture ends,which was difficult to be corrected by external splint fixation,avoid the delayed healing caused by periosteum damage after internal fixation.