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| Efficacy of Stage I Three-dDimensional External Fixator System Combined with Stage Ⅱ Internal Fixation in the Treatment of Gustilo Type Ⅲ Open Tibiofibular Fractures and the Influence on Functional Recovery |
| YANG Haidong, CHEN Qiming |
| Huizhou Central People's Hospital, Guangdong Huizhou 516000, China |
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Abstract Objective: To investigate the efficacy of stage I three-dimensional external fixator system combined with stage Ⅱ internal fixation in the treatment of Gustilo type Ⅲ open tibiofibular fractures, and the influence on lower limb function recovery. Methods: From April 2017 to April 2021, 93 patients with Gustilo type Ⅲ open tibiofibular fractures underwent surgical treatment in the hospital. The patients were randomly divided into conventional group (45 cases) and combined group (48 cases) using the method of random number table. The operation-related indicators, clinical effect, lower limb function recovery and postoperative complications were compared between the two groups. Results: The total operation time, postoperative hospital stay and fracture healing time of the combined group were shorter than those of the conventional group (P<0. 05), and the clinical effect was better than that of the conventional group (P<0. 05). The American Orthopedics Foot and Ankle Society (AOFAS) score and American Hospital for Special Surgery Knee Score (HSS) showed no statistically significant difference between the two groups before operation (P>0. 05). At 6 months after operation, the AOFAS scores and HSS scores were increased in the two groups, and the combined group had higher score difference than the conventional group (P<0. 05). The incidence of total complications in the combined group was lower than that in the conventional group (P<0. 05). Conclusion: Stage I three-dimensional external fixator system combined with stage Ⅱ internal fixation for treating Gustilo type Ⅲ open tibiofibular fractures can reduce time cost, improve clinical effect, and better restore the patients' lower limb function, with fewer postoperative complications.
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2022, Vol. 28 
