The therapeutic method and effect of combining tibiofibular anterolateral approach with external fixation on the gustilo III distal tibiofibular fractures

Objective To study the clinical efficacy of combining tibiofibular anterolateral approach with external fixation on the Gustilo III distal tibiofibular fractures.Method 70 patients with Gustilo III distal tibiofibular fractures were selected and divided into the research group and the control group according to the operative plans.The research group were treated with tibiofibular anterolateral approach combined with external fixation while the control group were treated with open reduction combined with internal fixation.The general operation conditions(time of operation,intraoperative quantity of bleeding,incision complication,etc) of two groups were observed.According to the scores of AOFAS,the therapeutic effect were evaluated before and after surgery.Result The operation time and intraoperative quantity of bleeding of the research group were respectively(72.3 ± 9.6)min and(81.3 ± 9.5)ml while the operation time and intraoperative quantity of bleeding of the control group were respectively(86.3±10.3)min and(103.3±11.9)ml(P0.05);The incidence rate of incision complication of the research group(2.86%) was significantly lower than that of the control group(17.14%)(P0.05).According to AOFAS,the scores of ache,function and alignment as well as total points of the research group were respectively(34.5±7.5),(42.7±3.2),(9.5±1.9)and(86.3±9.6)while the scores of ache,function and alignment as well as total points of the control group were respectively(31.6 ± 5.7),(32.3 ± 7.0),(8.2 ± 2.2)and(72.5 ± 13.7).(P0.05).Conclusion The clinical efficacy of applying the tibiofibular anterolateral approach with external fixation to treat Gustilo III distal tibiofibular fractures is better than that of the treatment with open reduction combined with internal fixation,which could relieve the trauma for the patients and reduce the incidence rate of complication.It is worthy of promotion.