Abstract：Objective To investigate feasibility and effect of external fixator plus steel plate in treatment of open tibiofibular fractures combined with tibial defect. Methods The study involved 21 patients with open fractures of tibia and fibula (15 patients with type Gastilo ⅢA, five with type Gastilo ⅢB and one with type Gastilo ⅢC) with concurrent tibial defect of 2-6 cm. External fixator plus fibular steel plate was performed at the first stage, followed by iliac bone grafting for bone defect at the second stage. Results All patients showed successful reconstruction of the tibial defects with length difference between affected and healthy extremities less than 2 cm in follow-up for (14.0±10.5) months (range, 8-24 months). Meanwhile, no talipes equinovarus existed. Conclusions External fixator plus steel plate is an effective method for treating open tibiofibular fractures combined with tibial defect. The length and function of the extremities of patients with open tibiofibular fractures combined with tibial defect of less than 6 cm can be successfully restored.
HAN Li-ren,ZHAO Bei,MU Wei-dong et al. External fixator plus steel plate for treatment of open tibiofibular fractures combined with tibial defect[J]. CHINESE JOURNAL OF TRAUMA, 2013, 29(3): 258-261.
［1］Enneking WF, Dunham W, Gebhardt MC, et al. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res, 1993, （286）:241-246.
［2］Chew WY, Low CK, Tan SK. Long-term results of free vascularized fibular graft: a clinical and radiographic evaluation. Clin Orthop Relat Res, 1995, （311）:258-261.
［3］Taylor GI, Miller GD, Ham FJ. The free vascularized bone graft: a clinical extension of microvascular techniques. Plast Reconstr Surg, 1975, 55（5）:534-544.
［12］Smrke D, Arnez ZM. Treatment of extensive bone and soft tissue defects of the lower limb by traction and free-flap transfer. Injury, 2000, 31(3):153-162.
［14］Stubbs D, Deakin M, Chapman-Sheath P, et al. In vivo evaluation of resorbable bone graft substitutes in a rabbit tibial defect model. Biomaterials, 2004, 25(20):5037-5044.
