严重的开放性胫腓骨骨折治疗难度较大。伤口的处理骨折固定方法是否恰当 ,对预后起很大作用〔1〕。作者回顾本院从 1994年 1月～ 1999年 2月收治的 4 6例Ⅲ度开放性胫腓骨骨折 ,全部病例随访治疗效果满意 ,报告如下。1　临床资料1 1　一般资料 :本组 4 6例 ,共 4 9侧肢体。男 3 Severe open fractures of the tibia and fibula treatment more difficult. Wound treatment of fracture fixation is appropriate, play a significant role in the prognosis 〔1〕. The authors review our hospital from January 1994 to February 1999 admitted 46 cases of Ⅲ degree open tibiofibular fractures, all cases were followed up with satisfactory results, the report is as follows. 1 Clinical data 1 1 General Information: The group of 46 cases, a total of 49 side limbs. Male 3