Effect Observation of Single-arm External Fixator Combined with Reconstruction Plate Fixation in Treatment of Gustilo III Open Comminuted Fractures of Distal Tibiofibula

Objective To explore the effect of single-arm external fixator combined with reconstruction plate fixation in treatment of Gustilo Ⅲ open comminuted fractures of distal tibiofibula.Methods During January 2002 and January 2010 the author performed single-arm external fixator combined with reconstruction plate fixation in treatment of 38 patients with Gustilo Ⅲ open comminuted fractures of distal tibiofibula.The clinical effects were analyzed.Results All cases were followed up for average 29 months,there were 4 cases of wound infection,3 cases of pin hole infection,2 cases of delay union and 1 case of bone nonunion.All the cases were cured,and fineness rate of malleolar joint function was 92.1%.Conclusion The method of single-arm external fixator combined with reconstruction plate fixation in treatment of Gustilo Ⅲ open comminuted fractures of distal tibiofibula is safe,reliable and micro-trauma which can effectively reduce complications such as infection and bone nonunion.