摘要
目的探讨胫骨平台骨折并发骨筋膜室综合征患者采用早期切开减压、骨折切开复位内固定(open reduction with internal fixation,ORIF)及负压封闭引流(vacuum sealing drainage,VSD)治疗的可行性,为此类患者早期治疗提供新的临床思路。方法 2008年7月～2012年5月对287例胫骨平台骨折患者中并发骨筋膜室综合征的31例患者均采取上述方法治疗,待肿胀消退,皮肤软组织松弛后再行减压伤口二期直接缝合。结果 31例胫骨平台骨折并发骨筋膜室综合征患者经切开减压、复位内固定及VSD处理后恢复良好,均未出现感染、肢体(或皮肤)坏死以及关节功能障碍等并发症。结论胫骨平台骨折并发骨筋膜室综合征早期行切开减压、复位内固定及VSD是一种切实有效的治疗思路,值得在临床上推广。
Abstract： Objective To discuss the possibility of the treatments to patients of tibia1 plateau fractures complicated with osteofascial compartment syndrome, by opening decompression, vacuum sealing drainage （VSD） and open reduction with internal fixation（ ORIF）, then to offer a new clinical method to such patients. Methods 31 patients complicated osteofascial compartment syndrome in 287 patients of tibial plateau frac- tures from July 2008 to May 2012 were treated by opening decompression, ORIF and VSD. When the oedema released and the skin and soft tissue became relaxed, the incision was sewn up directly. Results The 31 pa- tients of tibial plateau fractures complicated osteofascial compartment syndrome treated by opening decompres- sion, ORIF and VSD all got good results without infection, necrosis of skin or lower limbs, nor function disturb- ance. Conclusion Early treatment of opening decompression, ORIF and VSD to patients of tibial plateau fractures complicated osteofascial compartment syndrome is a reliable and effective method. And it is worth to promoting in clinic.
出处
《中国现代手术学杂志》
2012年第5期365-368,共4页
Chinese Journal of Modern Operative Surgery
关键词
胫骨骨折
骨筋膜室综合征
引流术
tibial fractures
osteofascial comPartment syndrome
drainage
