title: [Application of damage control orthopaedic for the treatment of comminuted fractures of superior tibia in complex injury].
abstract: OBJECTIVE
  To investigate the treatment of comminuted superior tibial fracture in complex injury according to damage control orthopaedic.
  
  
  METHODS
  From Jan. 2007 to Jun. 2009,11 patients suffered from comminuted superior tibial fracture with complex injury, including 8 males and 3 females with an average age of 35.2 years. The external fixator were used to fix tibial fracture in emergency treatment, after 6 weeks when the condition of patients were improved, fix the external tibia by LISS plate through litter incision, fix interior tibia by reconstructed plate or sustained plate. The effect evaluated by Lysholm standard, marking system on the basis of limp, walking stick, angina, knee unsteady, pain, swell, up and down floor, squat.
  
  
  RESULTS
  All the postoperative CR showed that the superior tibial fractures were acquired functional reduction, the incision got well and no infection occurred. All 11 patients were followed-up for 12 to 18 months with an average of 14.7 months. According to an evaluation standard of Lysholm, the results were excellent in 5 cases, good in 4 cases, fair in 1 case, poor in 1 case.
  
  
  CONCLUSIONS
  According to damage control orthopaedic, the treatment of comminuted superior tibial fracture by external fixation and LISS plate is a suitable method for the patient with complex injury who undergo comminuted superior tibial fracture.
authors.affiliation: Department of Orthopaedics of Taizhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Taizhou 317523, Zhejiang, China. wlligs2002@yahoo.com.cn
authors.forename: Gao-shun
authors.initials: GS
authors.lastname: Li
authors.forename: Zhao-ming
authors.initials: ZM
authors.lastname: Ye
authors.forename: Yong-zhi
authors.initials: YZ
authors.lastname: Chen
authors.forename: Feng-shuang
authors.initials: FS
authors.lastname: Wang
mesh_terms: D000328:Adult; D005260:Female; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed