Abstract
Objective: To evaluate the clinical efficacy of bone traction combined with small splint external fixation in treating tibiofibular fractures. Methods: 378 patients with tibiofibular fractures who were treated in the Department of Orthopedics of our hospital from January 2019 to January 2023 were selected as study subjects. According to the specific conditions of the patients and the indications for surgery, they were divided into the observation group (bone traction combined with small splint external fixation) and the control group (conventional plaster fixation), with 189 cases in each group. Both groups of patients immobilized the affected limb as instructed by their doctors and were treated with oral anti-inflammatory and pain-relieving medications. The healing of the fractures was monitored using imaging techniques such as X-rays, computed tomography scans, and magnetic resonance imaging, while postoperative complications were also recorded. Results: The incidence rate of non-healing in the control group (7.41%) was significantly higher than that in the observation group (1.06%) (P < 0.05); the complications in the observation group were mainly three cases of limb deformity, three cases of pressure sores, and four cases of skin necrosis, with a total of 10 cases and an incidence rate of 5.29%; while in the control group, there were three cases of fracture nonunion, nine cases of skin necrosis, seven cases of pressure sores, and three cases of limb deformity, with a total of 22 cases and an incidence rate of 5.29%, the difference between the two groups was statistically significant (χ2 = 4.916, P = 0.027). Conclusion: Bone traction combined with small splint external fixation has shown remarkable efficacy in the treatment of tibiofibular fractures, which can not only quickly stabilize the fracture end, reduce pain, and promote fracture healing, but also reduce the occurrence of complications and shorten the treatment period.
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